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PERMFILE71277
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PERMFILE71277
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Entry Properties
Last modified
8/24/2016 11:20:36 PM
Creation date
11/20/2007 11:47:06 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004051
IBM Index Class Name
Permit File
Doc Date
10/20/2004
Doc Name
Authorization to Represent a Party
From
Wattenberg Improvement Association
To
DMG
Media Type
D
Archive
No
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~5) r.e 5 ~ ~2 rh A. .~C Y(~ rhC- <br />are ~ io/Jel6t< ~ulG(fc>~9+-~~ Lc~luS ~ ~'D4`~"O 5 ~ <br />!-~"~ 'AUT~OI2ILA'B'ION TO REPRESENT A PARTY <br />(Please Type (sr Print The Requested Information <br />SYGNATURES MUST BE IN' SLUE INK <br />j Frank Galicia President <br />(person's name) (tide) <br />of Wattenberg Improvement Associa-(name of company, association, organization, etc.) am <br />tioh <br />authorized to delegate Andrea Benson & Cynthia Cove~T 'attorneys <br />(person's name) (consultant, etc.) <br />As cciat'' n <br />to represent wattenberq Improvement name o'foperson, company, association, organization, <br />etc.) at the Pre-hearing Cer~ererce andlor Hearing before the A,4ined Land P.eclamation Board in <br />this matter. <br />SIGNED A~NfD D~AT~ED~,TIIIS~ DAY OF October 2004 <br />~/~+-,-C ~~y6~'~- If corporation attest (seal) <br />Authorized Signature (must be signed in blue ink) <br />Title: President <br />State of Colorado ) <br />ss <br />City&tCounty of _ Denver ) <br />The fore ing instrument w acknowledged befor me <br />i~~~Z~G,~h G~ ~ Gam <br />-~- _ <br />.. ~., <br />r ~,~~~^ <br />_ ~..~ ~r <br />„, _..F <br />this ~~day of ~Ll ~-~ , °7 rG7` . <br />of <br /> <br />Public <br />My commission expir ~~.~o ~ ~ T c?t'/Q~ <br />SdGNATURES MUST BE IN BLUE lNi{ <br />A:\blkdoc\pxtywve.wp <br />
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