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PERMFILE56859
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PERMFILE56859
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Entry Properties
Last modified
8/24/2016 10:59:19 PM
Creation date
11/20/2007 5:12:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979163
IBM Index Class Name
Permit File
Doc Date
9/4/1979
Doc Name
LIMITED IMPACT 110 & SPECIAL 10 DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />The Owner hereby warrants that he has good title to the above described pre- <br />mises; that he has the lawful right to grant this Option, and that he agrees to <br />hold the Department harmless from any and all claims from others asserting any <br />interest in the subject land. <br />Additional ConditionsKf Las Animas County forces are present, it will <br />be necessary for both parties to co-operate. Permission is granted to store <br />aggregate on the property until depleted by Maintenance De t. Minimum damn e <br />to grass an is require . <br />DEPARTI•fENT OF HIGHWAYS, STATE OF COLORADO ~ ' ' Cr~.L , L ~- <br />(Owner(s) - Insert as appears <br />above)) <br /> <br />BY: <br />By: District Materials Engineer <br />ALP:el <br />llISTRII~UTION: <br />Origin~~l - Design Engineer <br />1 - Owner or each Owner <br />1 - hlat.erials Engineer - Denver <br />2 - Cori§truction Engineer - District <br />L - Ptaintenance Engineer for all State Forces Projects <br />STATE CF <br />COUNTY OF <br />SS <br />The foregoing instrument was acknowledged before me this <br />A. D. 19 , by <br />day of <br />Witness my hand and official seal. <br />My commission expires <br />(SEAL) Notary Public. <br />(Original to be acknowledged and recorded if, in the opinion of the District <br />Engineer, there is possibility of transfer of the premises or question of title. <br />Refer t~~ D. O. H, Memo No. 418, dated April 7, 1972.) • <br />Pl~tase attach plat of pit area. <br />Field Sample No. 1040 <br />,t * * ,t * * * * ,t ,t <br />• <br />• <br />Page 2 <br />
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