PERMFILE52689

• 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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C• C a items 1 erW(or 1 ror eddtttomt eeMCn.
m Co to name 3, and U d b.
q • Print your name end eddwn an the mvem or this loan eo that we un
return thle card Io you. ~ ~ -I
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Aneca thn roan to the front of the meilpiece, or on tae beck it apace
~ dose not Permit.
o write"Return Receipt Requested"on the meilpleca below the enicle nump
' •L• • The Return Receipt will chow to whom llr article was delivered end the del
'I CO delivered.
v 3. Article Addressed to: 4a. ~ Ai
~ mU. S. Soil Conservation Service P
E 1826 E. Platte Ave, Suite 114 ab. s.
I also wish to receive the
following services (for an extra
feel: •~
1. ^ Addressee's Address ~j '
2. ^ Restricted Delivery ~ •m ,
Consult Dostmaster for lee. °o ,
ae Number R
f76 995 704
ice Type •
Colorado Springs, Co. 80904 ^ Registered ^ Insures ~
I N QcCartified ^ COD C '
f ty++ ~ ^ Express Mail ^ Return Receipt for ~
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~ 7. Dale of Delivery
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r ¢ 5. Signature (Addressee) ~ 8. Addressee's Addrass (Only i! requested Y
F and tee is paid) ~
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~ 6. Signature IAgentl ~• r
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PS Form 311, December 1981 R U.S.6.P.o.: tse2•so7-Sw DOMESTIC RETURN RECEIPT
P 376 995 704
ail
No Ins ace veraye Provided
Do not use for International Mail
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Receipt for
Certified M
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U.S. Soil Conservation Svc
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1826 E. Platte Ave,
~I114
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olo rin s Co 80904
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