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PERMFILE55601
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PERMFILE55601
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Entry Properties
Last modified
8/24/2016 10:58:23 PM
Creation date
11/20/2007 4:39:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992045
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT OPERATION 110 2 RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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r <br />m SENDER: <br />• o. • Compiata items 1 and/or 2 for additional eervices~ <br />m • C <br />i <br />I BI60 W18h t0 rBCBIVB at <br />omplete <br />tems 3, end 4a b b. <br />P <br />i <br />dd <br />h <br />f <br />hi <br />f <br />h fOIIOWIng BervILeB (}Or all B%V <br />~ _! , <br />r <br />nt your name end a <br />resc on t <br />e ravens o <br />t <br />s <br />orm eo t <br />at we can {BB1: <br />., m„ return this card to you. <br />~ • Auech tMe farm to the from al the meaplece, or an the hea4 if spade f . ^ Addreaa'e Addr„s <br />~ dose net permit. <br />• Write"RaturnReceiptReaueeted"pnthamailpiecebelowtheenlclenumber ~, ^ReetrlctedDdlvery <br />fa <br />• The Return Recelpt win NorJ to whom the artltle wee dsllvere0 a <br />C <br />delivered. nd the dale <br />t:OneUlt OBtmBeLBf fOf Tee. <br />O <br />v 3. Article Addressed to: 4 Article Number <br />~ 4 <br />Service T <br />e <br />G <br />~ ~ <br />yp <br />egistered ^ Insured <br />1~C-~- <br />~ ~ Certified ^ COD <br />W <br />(~/ '~ /ot ©/ <br />C ^ Fxpress Mail ^ Retum Receipt fo <br />M r a dis <br />i <br />p ~ 7. [}y f el've <br />j 5. Signature (Addressee) 8. Addressee's Address (Doty If request <br />~ end fee ie paid) <br />3 <br />0 <br />n <br />o U.a.d.P,O. ~ ttre2-aOTLaO DOMESTIC RETURN F <br />P 9D2 13l] 127 <br />Certified Mail Receipt <br />No Insurance Coverage Provided <br />Do not use for Intemalional Mad <br />No <br />$ s z <br />Fee <br />Fee <br />Return RBCeiP~ ~ ~+^"w <br />~ Ip Wham 8 Dale Delivered <br />T <br />O) <br />Realm RBCe~PI Shonmy 10 Wnom, <br />G Dale, d Mo'ess 01 Delivery <br />'~ TOTnL Postage <br />$z s 2 <br />G 6 Faee <br />M s~mar• or Dale <br />E ~• <br />0 <br />LL <br />N ~. <br />a - -- <br />,. <br />
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