PERMFILE49100

• Permit No: M1980143
• IBM Index Class Name: Permit File
• Doc Date: 7/23/1980
• Doc Name: LIMITED IMPACT AND SPECIAL TEN-DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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NOTICE PROCEDURES
After the application has~been filed with [he Division, notice pro-
' cedurea outlined in Section 3. or 4.2 {whichever is applicable) must be
followed.
ADDITIONAL INFOR*SATION
-3-
This space can be referenced for further information of any of the items
on this fcrm.
To th.e best of my knowledge, all the information presented in this application
~ true ar.d correct.
Sy:
Title: I'
(Signed by individual legally authorized
to bind the operator to this application)