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,. <br />-z- <br />Applicant and Successor hereby request the State to consent to the assignment of the approved Permit <br />Application to recognize the Successor as the approved Applicant under the permitting process. <br />~ a~ <br />Name of Permit Applicant Z'[ld,{,t5 1e5 <br />B~ ~~ ~Z ~~ <br />` 'Signature of Officer <br />Title of Officer <br />~ ccessor Applicant <br />Signature of Officer ~~ ,/" . <br />IC'~,P~l~~,,f `QII '~I /~ <br />5 <br />Title of Officer <br />NOTARY FOR PERMIT APPLICANT <br />by <br />of <br />STATE OF 1 <br />ss. <br />COUNTY OF ) <br />The foregoing instrument was acknowledged before me this <br />as <br />day of <br /> <br />NOTARY PUBLIC <br />My Commission expires: <br />NOTARY FOR SUCCESSOR APPLICANT <br />The Lore-going~mstrument was acknowledged before me this L d/fi't' of /~~ e.?~ ~ / , <br />by ~i2 ~• ~cPJcC~- as ~.eaeet~~-L L+aiL~ <br />of /ts~ll~2oct1L ~ic~o~c0° -wc~ , V~ ~CG- <br />STATE OF ~F ) <br />ss. <br />COUNTY OF ~ <br />p ~~.~~ <br />NOTARY PUBLIC ~/ <br />~~ My Commission expires: ~~~L--o2"~ ate/' <br />