PERMFILE41893

• Permit No: M2002059
• IBM Index Class Name: Permit File
• Doc Date: 7/29/2002
• Doc Name: Pre-hearing Conf Notice
• From: DMG
• To: Todd and Carol Weber
• Media Type: D
• Archive: No

AUTHORIZATYON TO REPRESENT A PARTY
(Please Type Or Print The Requested Information}
SIGNATURES MUST BE IN BLUE IIVK
I
(person's name) (title)
of (name of company, association, organization, etc.) am
authorized to delegate , a
(person's name) (consultant, etc.)
to represent (name of person, company, association, organization,
etc.} at the Pre-hearing Conference and/or Hearing before the Mined Land Reclamation Boazd in
this matter.
SIGNED AND DATED THIS DAY OF
If corporation attest (seal)
Authorized Signature (must be signed in blue ink)
Title:
State of )
ss
County of )
The foregoing instrument was acknowledged before me this
by as
of
Notary Public
My commission expires:
SIGNATURES MUST BE IN BLUE INK
day of ,
A:\6lkdoc\prtywve.wp