Laserfiche WebLink
-._ ~~ ~ III IIIIIIIIIIIIIIII <br />sss <br />Permittee Name: Dewitt Excavating <br />Permit No: M-83-132- <br />Operation Name: DEWITT EXCAVATING <br />Anniversary Date: 07 / 29 / 85 <br />C~ <br />~' 110 an l~l~Enclosure <br />•~~ ~ ui <br />JUl_2 Si~gc <br />,~~,F~ La~!n RFcI aa~nriow <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 Reclamation <br />Division for annual fees due <br />I/ Annual Report <br />~ I a--5 / ~s <br />Signature r`, /~ <br /> <br />