My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2016-04-14_PERMIT FILE - P2011010
DRMS
>
Day Forward
>
Permit File
>
Prospect
>
P2011010
>
2016-04-14_PERMIT FILE - P2011010
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/23/2020 10:35:03 PM
Creation date
4/20/2016 3:22:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2011010
IBM Index Class Name
PERMIT FILE
Doc Date
4/14/2016
Doc Name
Agreement to Conduct Permitting by Electronic Means
From
Rio Grande Silver, Inc.
To
DRMS
Email Name
SLB
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
7
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to C <br /> opt in to ePermit: Ra nd-y Lk r P— <br /> Name of permittee: <br /> RL'v ((7rc�► 1� SDI vex, LY)C, <br /> Title: C o n s Cklta d <br /> Signature: 1 f <br /> Email Address for ePermit Account: r i Ix.-(., 6 h + rn A n(+ W\ <br /> 1.0 <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> or r.,J.0 <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this ��' day of&,,iA- Z0/ by <br /> (date) (year) <br /> RQ 1)C)L'I W)r-C I Ll rr- as <br /> (Name of permittee representative) (title) <br /> of <br /> (permittee) <br /> CECILIA M. MCNEEL <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20154016485 _ <br /> MY COMMISSION EXPIRES APRIL 27,2019 NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> Page 3 of 4 <br />
The URL can be used to link to this page
Your browser does not support the video tag.