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PERMFILE65147
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PERMFILE65147
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Entry Properties
Last modified
8/24/2016 11:11:00 PM
Creation date
11/20/2007 8:43:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1998038
IBM Index Class Name
Permit File
Doc Name
CONSTRUCTION MATERIALS SPECIAL 111 OPERATION RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />,`. <br />~ - ~°~ ~tB~~3 ~ <br />g SENDER: <br />v •Cp mplete items 1 ardor 21or etltlitlonal e•Mns. <br />I also Wish t0 reCelvB the <br />a •Complete items 3, 48, flntl 4D. 10fi0Wing SBrVICSS (fOr an <br />Y ~e entl etltlraea on Ne reverse of this brm eo thsl we can return Ihie <br />• <br />t <br />o eldre f9et: <br /> <br />' ~ nrd <br />ou. <br />o <br />•Attech this brm to IM horn of the mailpan, or on the bark If span tloes not <br />it <br />' <br />1, ^ AddfeSSSe'S Address ai <br />= perm <br />. <br />•Wnte'Rerum Receipt Aequestetl'.bn the mailpien DNOw the ancle number. 2. ^ Restricted DBlivery y <br />~ •TDe Ralum Recelpl will show to wMm Ne snide was tleliveretl antl the tlate <br />. o tleliveretl. Consult postmaster for fee. <br /> 3. Article Addressed to: 4a. Article Number <br />nP~ ~ c~~ P a 905 <br /> - 4b. Service Type <br />v ^ Re istered ~ Certified <br /> <br />P <br />~ <br />~ Express Mail ^ Insured <br />R <br />i <br />R <br />f <br />M <br />h <br />di <br />^ COD ~ <br />5 <br />~ <br /> -a r "' <br />cc <br />p 1/~/~ pt <br />or <br />eturn <br />ece <br />erc <br />an <br />se <br /> ~ f <br /> 0 (IJLJ 7. D~~//ee o <br />Deli e//,ry,t1 <br /> T <br /> 5. Received By: (Pont Name) 6. Addressee's Address (Only i/requested ~ <br /> and /ee is paid) _ <br /> F <br />g 6. Signat ddr ee o q~nt~/I„ <br />' <br />r X L // <br />e <br />PS Form 3811, December 1994 <br />10259591 a-01]9 Domestic Return Receipt <br />r { <br /> <br />MAR. 0 21998 <br />Division of Muierals s ueoiopy <br />
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