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2019-10-11_REVISION - M1977376
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2019-10-11_REVISION - M1977376
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Entry Properties
Last modified
1/6/2025 5:29:56 AM
Creation date
10/11/2019 2:30:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977376
IBM Index Class Name
Revision
Doc Date
10/11/2019
Doc Name
Request For Succession Of Operator
From
Daniel Tezak
To
DRMS
Type & Sequence
SO4
Email Name
TC1
GXB
MAC
Media Type
D
Archive
No
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<h <br /> SIGNED, SEALED AND DATED this Vp day of \`x <br /> Canon Dolomite Quarry,LLC <br /> Operator (SEAL) <br /> By: Daniel Tezaka <br /> Title: Manager <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF l jZ)rCAd 0 ) <br /> ss.: <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this�� day of , <br /> • b iel T22.JC, as of C64 <br /> Notary P lic <br /> My Commission Expires _ J Z� <br /> RHONOA K LEWIS <br /> STATE OF COLORADO Notary Public <br /> DEPARTMENT OF NATURAL RESOURCES State of Colorado <br /> MINED LAND RECLAMATION BOARD Notary 10 19954007903 <br /> DIVISION OF RECLAMATION,MINING AND SAFETY My Commission Expires Feb 1, 2020 <br /> By: Date Executed: <br /> Division Director <br /> Rev.05/12 <br /> - 13 - <br />
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