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~ III IIIIIIIIIIIIIIII ~ -~ <br />112 Attachment ' <br />Permittee Name: VAL~~IJCO/Lamar Concrete Division <br />Operation Name: ~bntd/ c~/~'G~ ~ b'/-/3.Z RECEIVED <br />Permit No: 81-132 NOV 07 1984 <br />Anniversary Date: November 5 <br />MIN~o pegt. a NeUua110R~OUrces~ <br />Please complete the following and return this form with your fees and-'" <br />reclamation data. <br />Enclosed are: (Check box(es)) <br />~~Check or money order payable to Colorado ~4ined Land <br />Reclamation Division for annual fees due <br />~-" ' Annual Re ort <br />P <br />~~' Map <br />Remarks: <br />Signature <br />(Rev. 5/84) <br />Doc. No. 1805 <br />t./~18Y' <br />on,,~.~ <br />r; (e <br /> <br />