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Application for transfer of ownership for all permit, certifications and authorizations <br />PART 2 <br />TO BE COMPLETED BY THE PREVIOUS PERMITTEE <br />As previous owner, I hereby agree to the transfer of the permit and all responsibilities there <br />of for the permit referenced in Part 1, Page 1 of this application. <br />Company name CARTER LAKE ENTERPRISES, INC <br />Legally responsible party C O N N I E SPRAGUE <br />Title SECRETARY/TREASURER <br />Phone 970-667-2991 Email CARTE RLESTONE1 @YAHOO.COM <br />Mailing address P.O. BOX 129 <br />City MASONVILLE State CO zip 80541-0129 <br />Signatures-Vt� <br />Date � q P5— <br />