2015-08-12_PERMIT FILE - M2015006

• Permit No: M2015006
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/12/2015
• Doc Name: Reclamation Permit - Final Version
• From: Sprague Stone LLC
• To: DRMS
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name
Date Title
STATE OF )
) ss.
COUNTY OF )
The foregoing was acknowledged before me this day of , 20___, by
as of
My Commission Expires:
Notary Public