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REV03395
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REV03395
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Entry Properties
Last modified
8/25/2016 1:01:13 AM
Creation date
11/21/2007 9:08:21 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983084
IBM Index Class Name
Revision
Doc Date
12/21/1994
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO2
Media Type
D
Archive
No
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<br />.r <br />r <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 />PFRMT7TFF <br />/ '1>` wj /~/.~J i.~6 Cam. <br />Name of Permittee <br />By <br />ture of i <br />~COikOlm~! <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of ) <br />County of~j iL_~ c, ) <br />SUCCESSOR OPERATOR <br />Name of Successor <br />r <br />By ~ <br />Signatur fi r <br />Tit e of Officer <br />The foregoing instrument was acknowledged before me this ~_ day <br />of ~ ~~, by ~ .11.n~ G, ~'n ~.n.~~-+-e: <br />as rcC. of M M M.+.,n ~~. <br />Notary Public <br />NOTARY FOR SUCCESSOR <br />State of CA ) <br />County of ~ .S > <br />Th fore oing instrument was ack~led <br />of by LCt//J <br />as of <br />My Commission <br />&e„dao.v~inr~n~ <br />AyCgnm'ssion~ ExplreSUNw.87ry~ <br />before me this ~_ day <br />Notary Public ~``- <br />My Commission Expires <br />My Commission expires May 29.1998 <br />
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