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'nte fdlowing identiGn adaoeman netiau tal¢v fiactg Ihis wpeolgq the ieq~crod a6~eo1®d dYe ot~hdameot fot the vioLtim. p~wiwra <br />viddiom alill ~equea~g ~1®k and the tammati® of rioFa~ oiecd diuvta P~'~e m°P00~ <br />Permit Number C-81-046 for this site has been fewked and the bond forfeited <br />NOTE: Attach appropriate VIOLATIONS or CESSATION ORDER. CODING EOBMS <br />Revisetl 2/87 <br />Page tof S Pages, (date) Z Z Jf e1 , (initials) ~~ <br />