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2018-10-22_REVISION - M2008078 (15)
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2018-10-22_REVISION - M2008078 (15)
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Entry Properties
Last modified
1/4/2025 6:43:08 AM
Creation date
10/23/2018 10:04:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2008078
IBM Index Class Name
Revision
Doc Date
10/22/2018
Doc Name Note
Part 5 of 6
Doc Name
Request For Amendment To Permit
From
Prowers Aggregate Operators, LLC
To
DRMS
Type & Sequence
AM1
Email Name
AME
MAC
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION •MPLETE THIS SECTION� . <br /> ■ Complete items 1,2,and 3. A. Signa e <br /> ■ Print your name and address on the reverse XN Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Waved by(Printed ame) C. Date of Delivery <br /> rm or on the front if space peits �11SQ �7 <br /> ' D. Is delivery address different from item 1? ❑Yes <br /> Prowers Consery ition District If YES,enter delivery address below: ❑No <br /> 1501 South Mair Street <br /> Lamar,CO 810`2 <br /> III I' I'I ('III I II I I Il IIII I( '�I I I I I 3.O Adultt Signature re D Registered ered Mail'^ss© <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3805 8032 5737 58 43Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery Zr ReturnReceipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service/abe0 ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation— <br /> 'Mail LJ Signature Confirmation <br /> 7017 3380 0000 7022 7 6 7 6 0M0)l Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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