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<br /> <br />Permit No: 79-103 <br />Anniversary Date: April 8 <br />Operator: <br />I~~ I~~~~II~~IIIII~~ <br />r •- <br />Please complete the following and return this form with your fees and reclama- <br />tion data. <br />Enclosed are: (Check box(es)) <br />Check or money order payable to Colorado Mined Land Reclama- <br />tion Division for annual fees due <br />Annual Report <br />Map <br />Remarks We have some material stockpiled on the Soi,th portion of the <br />prnnPrrv_ n,.P rn rhP fIP~rPRCPA local Pronomy. we do not foresee anv <br />additional mining this year. Any material removed will come from the <br />stockpile. <br />~~~CIV~A_l <br />f <br />signed, <br />~ , <br />AF'R 1 ~ 1982 <br />MINED LAND RECLAMATION <br />Colo Oe~t. of ~'ater2l Reso!~rce~ <br />