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2019-05-23_REVISION - M1996052 (6)
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2019-05-23_REVISION - M1996052 (6)
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Entry Properties
Last modified
1/5/2025 5:51:13 AM
Creation date
5/23/2019 3:01:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1996052
IBM Index Class Name
Revision
Doc Date
5/23/2019
Doc Name
Request For Amendment To Permit
From
LG Everist
To
DRMS
Type & Sequence
AM2
Permit Index Doc Type
DMG Policy
Email Name
ECS
MAC
Media Type
D
Archive
No
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IN WITNESS WHEREOF, Owner and Structure Owner have signed this Agreement in duplicate. One <br /> counterpart each has been delivered to Applicant and Structure Owner. All portions of the Contract <br /> Documents have been signed, initialed or identified by Applicant and Structure Owner. <br /> OWNER: STRUCTURE OWNER: <br /> L. G. Everist, Incorporated Sinclair Transportation Company <br /> an Iowa corporation a Wyoming Co oration <br /> BY: e By: <br /> (Signature) (Signature) <br /> Name: n <br /> rX".1 Name: <br /> Ti <br /> tle:itle: <br /> Date:__ -zL Date: <br /> o s �1 zo L,-:z <br /> Address of Owner for giving notices: Address of Structure Owner for giving notices: <br /> L. G. Everist, Inc. Sinclair Transportation Company <br /> 7321 E. 88 1h Avenue, Suite 200 550 East South Temple, <br /> Henderson, Colorado 80640 Salt Lake City, Utah 84102 <br /> Attn: Veuk"� Attn.: tA,,,,,\, #,_ , <br /> Telephone No.: �7. Telephone No.: lbc\ <br /> State of Cyy k State of Jt <br /> Ss. ) SS. <br /> County of County of So-I+ L <br /> The foregoing Agreement was acknowledged The foregoing Agreement was acknowledged- <br /> before me this= day of before me this ;4day of <br /> M h AJt- <br /> 202 by 20_12_1 by Ak & Pg:&AjM, <br /> Alt& of Vi'AA- of <br /> L. G. Everist, Incorporated, an Iowa Sinclair Transportation Company, a Wyoming <br /> corporation. corporation <br /> Witness my hand and official seal Witness my hand and official seal <br /> My CQ a 0 ZY/ My Commission Ex 450 2#011 ot' '1' NdV low pires: <br /> tkOTARy *%.'o f t5YKLJ <br /> VATIE OF <br /> f �- -� - 6W LAST Soto"WAG" <br /> wTumc"UT "' IS AL <br /> SEAL MV Comm Qz=100i <br /> oFrcov <br /> 4 <br /> \\0 <br /> Set-Back Agreement between L.G.Everist,Inc.and Sinclair Pipeline Company <br />
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