Laserfiche WebLink
~~ III IIIIIIIIIIIIIIII <br />999 <br /> <br />Permit No 77-194 <br />Anniversary Date: ___ November 30 <br />Operator: <br />~~~ ~ v i 2 ~saz <br />~~~:-~;~~!'cU LAND R~CLAPJIA710U <br />Colo. Dept. of Ratural Resources <br />Please complete the following and return this form with yaur fees and <br />reclamation data. , <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Notice of Intent to Continue Mining Operations <br />Remarks We have not this year, and do not anticipate next year <br />exceeding permit limits. <br />Claim still active. Ab reclamation planned at this time. <br />Please change contact name frLom/Edward J. 'I~zak, Jr, to William A. 'I~zak <br />Signed, C~.~D,~~_Q,~ ~ <br />/ O <br />