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2022-06-16_PERMIT FILE - P2022011 (2)
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2022-06-16_PERMIT FILE - P2022011 (2)
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Last modified
12/28/2024 8:48:15 PM
Creation date
6/22/2022 9:03:16 AM
Metadata
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Template:
DRMS Permit Index
Permit No
P2022011
IBM Index Class Name
Permit File
Doc Date
6/16/2022
Doc Name
Notice Of Intent
From
Lewicki & Associates - Benjamin Miller
To
DRMS
Email Name
JLE
JPL
AWA
Media Type
D
Archive
No
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I,the undersigned,being the N0I holder or the person authorized to sign on behalf of the N0I <br /> holder, declare that the information given in this N0I form is true and correct. <br /> SIGNATURES MUST BE IN BLUE INK <br /> Signed and dated this 6 day of June 2022 <br /> (date) (month) ar) <br /> Signature of NOI holder or person authorized to sign• <br /> Name (typed or printed): Benjamin Miller <br /> Title/Position: Principal Consultant/Land Owner <br /> M:\min\oss\slb\MineralsForms\ProspectForm2 <br /> 30 Aug 2017 <br /> Form 2—Public File Page 14 of 14 <br />
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