1977-10-03_PERMIT FILE - M1977451

• Permit No: M1977451
• IBM Index Class Name: Permit File
• Doc Date: 10/3/1977
• From: DOW
• To: GERALD D SJAASTAD
• Media Type: D
• Archive: No

AFFIDAVIT
The information contained in the attached application for
permit under the Limited Impact Operation provisions of
the Pined Land Reclamation Act is accurate and complete,F
"JC l rrn•hF i �.'c
W. S . Dawson
Subscribed and sworn to before me , a Notary Public , this
30th day of September, 1977 .
Nucla , Colorado
My Commission Expires 7/8/79