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REV03015
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REV03015
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Entry Properties
Last modified
8/25/2016 1:00:46 AM
Creation date
11/21/2007 9:05:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991097
IBM Index Class Name
Revision
Doc Date
8/13/1997
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO3
Media Type
D
Archive
No
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~; <br /> <br />-5- <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 />PERMITTEE <br />~ x/.GC~I7AOp/ i~~4(.F-fl~~/~ <br />Nam' of Permittee <br />gy ~L~CA~tc~ ~.~ L/a <br />Signaturne of Offi <br />!~ <br />itle of Officer <br />NOTARY FOR PERMITTEE <br />State of //~/ ~'k._v~u- ) <br />County of ,/~~~ ,¢.....A. ) <br />SUCCESSOR OPERATOR <br />OLll`?A~' G[7clI77y <br />Name of Successor <br />S' nature of Officer <br />Title of Officer <br />The foregoing instrument was acknowledged before me this Ss~- day <br />of l997, by lf'~P,P~~.-~ ~s/1~,, 1~~.~,o.,.~ .~ <br />a~c/ fw ~ ~ fc6cu-._0 Gt~!._/_.~ UUF <br />~ ~ ~ <br />NOTARY FOR SUCCESSOR aa <br />State of iiC.{~G~i,I~LE~ ) <br />County of ~ ,. ) <br />The foregoing instrument was <br />of _, [~~`~, by <br />a s O ~,~QrLf~i/t, <br />Notary Public <br />My Commission Expires ~ <br />~f <br />nowledged before me this„~ day <br />., n _ ~ <br />of <br />,~~~, i Notary Public ~~~~ - ><1~u~ti <br />,".1 ~o My Commission Expires ~ ~7 `~d <br />
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