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PERMFILE42436
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PERMFILE42436
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Entry Properties
Last modified
8/24/2016 10:44:54 PM
Creation date
11/20/2007 11:10:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001069
IBM Index Class Name
Permit File
Doc Date
7/9/2001
Doc Name
CONSTRUCTION MATERIALS REGULAR 112 OPERATION RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />Received by <br /> <br />BE IT ACKNOWLEDED, that Todd Stockebrand, of Alamosa, Colorado, the undersigned <br />deponent, being of legal age, does hereby depose and say under oath as follows, I personally <br />delivered a copy of the Regular Operation (112) Reclamation Permit Application form complete will <br />all exhibits to the Rio Grande County Clerk and Recorder at 600 Cherry, County Courthouse Annex, <br />Del Norte Colorado and requested that they retain it on file for no less than 6 months unless notified <br />otherwise. <br />And I affirm that the foregoing is true except as to the statements make upon information and <br />belief, and as to those I believe to be true. <br />Witness my hand under the penalties of perjury this 3 day of~2001. <br />Q 3~~~~~iir/la~~ <br />Signature <br />State of Colorado <br />County of Alamosa <br />ON 3 2001 before me, Todd Stockebrand personally appeared, personally known to <br />me, to be tl person whose name is subscribed to the within the instrument and acknowledged to <br />me that he executed the same is his authorized capacity, and that by his signature on the instrument <br />the person, or the entity upon behalf of which the person acted, executed the instrument. <br />Witness my hand and official seal. <br />Signature ~ <br />My commission Expires September 17, 2003 <br />VJIJ <br />~~'pU~~~~~~~: <br />y~~'°• ..•a Y <br />EXHIBIT Q <br />PROOF OF DELIVERY TO COUNTY CLERK AND RECORDER <br />
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