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r <br />~ ~ III IIIIIIIIIIIII III <br />~,- . <br />- ~ _ 111J112 Enclosure <br />Permittee Name: Denver Brick Company <br />Permit No: M-77-392 r~1AR 141989 <br />Operation Name: Dawson State Lease <br />Anniversary Date: 03/11/89 NlI~EGLA~16 <br />FiEt/LAMA'PIORI171 VISI ON <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 />Annual Report <br />Map <br />