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<br /> <br />iii iiiiiiiiii~uii~ <br />ANNUAL REPORT <br />PERMTTTEE NAME: Tiger Timber, Inc. <br />PERMIT NO.: M-91-082 <br />OPERATION NAME: Tiger Timber Site* <br />ANNNERS'~ARY DATE: March 17,1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: $225.00 <br />COUNTY: Teller <br />• <br />RF~E~~ED <br />~bN z 5 <br />ahsio~ o1M;,~rah &1 g~ro9~ <br />In order to ensure that our records are up to date, please attach your revised annual report map and written <br />report to thi<_ annual report. Note that a written report is not necessary if the map addresses all the <br />items listed in the attached instructions concernine minine disturbance and reclamation update. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />ContactNarrie: rQ~+NK LAUcI.~a~y Company: ~~~ ~~~ 7'IM3~R I',uC <br />Address::- ~ V. 3cX ! 2 ~ Phone No.: (7~{ ) '~' Y ~3 - ~3E z <br />L fFK ~ G~.av 6 ~-, CO Fax No.: ( ) <br />Comments:: <br /><~-Y'--~ <br />Signature of Corporate Officer, or Owner <br /> <br />Date <br />M 9DNRMLNIASTERIIV.A-AF-01. <br />