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<br />• ~II ~II~I~~I~~~II~II <br />sss <br /> <br />110 Enclosure <br />Permittee Name: Weasel skin Corp, <br />Permit No: M-86-148 <br />Operation Name: Weasel skin <br />Anniversary Date: 07/06/88 <br /> <br />Please complete the following and return this form with your feed and <br />reclamation data. <br />Enc.los/ed are: (Check space(s) below) <br />V Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br /> <br /> <br />_~ Annum xeport J? t.i <br />Remarks: ~J.~7GC. - -G.x~ <br />-c.~ ~ Lt~•~.c~.t <br />~ LJc~i <br /> /] <br />~ ,Qu1c~ vtto ~' ~ - 'ii <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />~~ _ ~LriG~~ ~~ ~~`f , <br />T <br />gnature <br />(Rev. 06!88) <br />0052f <br />~~~ <br /> <br />JUL <br />MIN _ <br />~~~i_,::' <br /> <br />13 1988 <br />Q L~~... <br />A <br />