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2019-05-03_PERMIT FILE - M2019021
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2019-05-03_PERMIT FILE - M2019021
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Last modified
1/5/2025 5:13:57 AM
Creation date
5/6/2019 3:33:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2019021
IBM Index Class Name
PERMIT FILE
Doc Date
5/3/2019
Doc Name
Application
From
Fremont Paving & Redi-Mix
To
DRMS
Email Name
TC1
Media Type
D
Archive
No
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SIGNED, SEALED AND DATED this c)-1 day of t'�di i C_. <br /> Operator (SEAL <br /> By: <br /> Title: <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF C1�QV-,'A a-,:, ) <br /> ) ss.: <br /> COUNTY OF V1h�,� ) <br /> The foregoing instrument was acknowl dged before me this day of <br /> by \CjAjA P. 4Vj as a1 1,A- of t ` <br /> k <br /> Notary Publi ^ <br /> My Commission Expires 6 �-- <br /> JODI D SCHREIBER <br /> STATE OF COLORADO NOTARY PUBLIC <br /> DEPARTMENT OF NATURAL RESOURCES STATE OF COLORADO <br /> MINED LAND RECLAMATION BOARD NOTARY ID 20064001792 <br /> DIVISION OF RECLAMATION,MINING AND SAFETY MY COMMISSION EXPIRES OCTOBER 6.2022 <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 3 - <br />
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