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a~~ ~ <br />DEC 2 315 <br />h1D ~~~~-` `:4 our~e <br />~toio. Oe~t~ti~tf~me <br />ermit No: <br />Operation Name: <br />Anniversary Date: <br />Ualco/gunnison Concr <br />M-81-014- <br />ROZMAN PIT <br />06/29/85 <br />~ iii iiiiuiiniutii <br />112 Enclosure <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />'Check or money order payable to Colorado Mined Land Reclamatio <br />Division for annual fees due~~'/}EcK W4s SBasr 7-/D-8S~':~SO`-'') <br />~R THis AhnU w~ RePc.Pr <br />_i( Annual Report -(jP~o~J <br />~.- Map ,9-Tr>9cr~Fo <br />Remarks: <br />F ~A ~ <br />IAP FOR PiT Ru-n vt~A-TEiP%AL. <br />7/~P,Pe ~.~5 0?8. /6 5~, sib mfrs of /YI.sYTPi{'i~4~ <br />aPP/~oy eo Cori, ,j u H e /9k5~ 7~o Tune /9~S',¢r ~:s <br />pi T,. ~%-C/~ S,LO~E ~ F ALL Iyi. h~~ A,~P,¢S' Rio <br />ff LL ?OP ~/~ ~-DCK PiLe1' `Jfl-Ue ~PE~rJ <br />~~K <s~.oP~,o To 3 ~0 7 .S~oPG . <br />4~~,5 <br />~~ <br />Ll' <br />''!! T <br />1/~'L~ -~/G. Gul4Hi,SD.tI ~ UiSiO~ <br />