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2017-08-07_PERMIT FILE - M1980244
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2017-08-07_PERMIT FILE - M1980244
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Entry Properties
Last modified
12/29/2020 4:38:25 PM
Creation date
8/10/2017 2:16:05 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980244
IBM Index Class Name
PERMIT FILE
Doc Date
8/7/2017
Doc Name
Comment Acknowledgement/Response
From
Review Agency Referral Form
To
DRMS
Email Name
TC1
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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e10-os-20(w) <br /> I HEREBY CERTIFY/THAT THE F REGOING REPRESENTAT ONS,AND ATTACHMENTS <br /> ARE TRUE AND CO RFCT TO TPE BEST OF MY KNOWLEDIAE. <br /> Jack Henris i S � <br /> (PfintedName) ( ate) <br /> (Signature) <br /> 2. <br /> (Printed Name) f (Date) <br /> (Signature) <br /> 3. <br /> (Printed Name) (Date) <br /> (Signature) <br /> 4. <br /> (Printed Name) (Date) <br /> (Signature) <br /> NOTE: SIGNATURES OF ALL PROPERTY OWNERS,AND THE AUTHORIZED <br /> APPLICANT, REPRESENTATIVE AND/OR AGENT IS REQUIRED <br /> (use space oust as needed) <br /> OTHER INFORMATION <br /> (attach additional sheets as necessary) <br /> FEE RECEIPT(official use only) <br /> Received By: Date: <br /> Amount Received:$ Check#: Receipt#: <br /> Page 4 of 4 <br />
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