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PERMFILE52689
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PERMFILE52689
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Entry Properties
Last modified
8/24/2016 10:56:23 PM
Creation date
11/20/2007 3:25:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1993080
IBM Index Class Name
Permit File
Doc Date
11/19/1993
Doc Name
REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />-5- <br />• 4. I.understand that statements 1n the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 15th ddy of November ~ 1993 <br />Summit Brick 6 Tile Co. <br />Applicant/Operator If Corporation Attest (Seal) <br />8y ~ ~irai•t--- By <br />Title: Consu tani 6 Agent Corporate Secretary or Equivalent <br />Town/CitylCounty Clerk <br />State Of Colorado ) <br />) ss. <br />County of Pueblo ) <br />The fo~r~e~going instrument was acknowledged before me this ~ day of __/~6Z~e~• ~/~i3 <br />by ,,t~L~u~1//~0,~~lii..L as ~.p1L~~~^~/rll%~.~ of ~rrryrnl..~i/, ~'>.~/.~ . <br />;..:.••~ ~ N tary Publ i c <br />• 1~.~ l _ <br />•~~ My Commission Expires: 7~% ~s~ <br />~~ ~~ _. <br />"•~ <br />r. - <br />(04/92) 2823f <br />`J <br />
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