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REV02411
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REV02411
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Entry Properties
Last modified
8/25/2016 1:00:02 AM
Creation date
11/21/2007 9:00:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978357
IBM Index Class Name
Revision
Doc Date
6/12/1998
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO1
Media Type
D
Archive
No
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,•. <br /> <br /> <br />Permittee and Successor hereby request the State to consent to the assignment <br />of the Permit, to recognize Successor as Successor Operator under the Permit, <br />and to accept the tendered substitute Performance and Financial Warranties in <br />place of the Warranties presently on file with the State. <br />PERf4[TTEE <br />Mesa County Division of Transportation <br />Name of Permittee <br />By <br />Sig t re Officer <br />Robert H. Carman-Road Supervisor <br />Title of Officer <br />-5= <br />SUCCESSOR OPERA70R <br />G and ~n t inn Pi ne 6 S~ p,pl ~ f <br />iJame of Successor <br />y ~'.-~_~ <br />B Signature of Of~S~ <br />Marie Tipping-President <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of (.~~-p~Cpf!r~ ) _ _ <br />__ <br />County of -/~'LA,O D./ ) <br />The foregoing instrument was acknowledged before me this .5~~ day, <br />of , ~, by ~,/~ rtrrcf l~ ~~ RAhAN __ <br />ds G~cr:szc...r PFaz~nirnu~ r~~P~~- of ~t~a Cnu...ra <br />NOTARY FOR//~~SUCCE_S-S_O1R <br />State of (,~;n~p('pC~p ) <br />County of 1 I Ie50- ) <br />The foregoing instrument was <br />of .,~iaYlE 1898 by <br />as ~f E~iC~-2Y1~ , <br />~ ~ <br />Notary Public <br />My Commission Expires <br />Notary PubliZ <br />My Commission <br />acknowledged before me this ~ ~ day <br />
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