REV07575

• Permit No: M1986074
• IBM Index Class Name: Revision
• Doc Date: 4/4/1997
• Doc Name: TRANSFER OF PERMIT & SUCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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Permittee and Successor hereby request the State to consent to the assignment
of the Permit, to recognize Successor as Successor Operator under the Permit,
and to accept the tendered substitute Performance and Financial Warranties in
place of the Warranties presently on file with the State.
PERMITTEE SUCCESSOR OPERATOR
Name of Permittee Name of Successor
By /C.~ ,//Lz..,~ By ~ CZ~t~c'~/L~/
Signature of Officer Sign e of Officer
Title of Officer Title of Officer
NOTARY FOR PERMITTEE
State of [)o /a.eAdo )
County of ~,gQ,',,, ~,Q )
The foregoing instrument was acknowledged before me this ~~ T'i' day
Of ~/'~' ~i,~~,., ~S.s.e , /99~ , by J~~ n ~E~in
dS ~.z ,v 5.'~.>~,T Of %~jr, ~E {~,~ ~'~nsT.eu~T>nn~.c,
Notary Public
My Commission Expires ~/,, v, a~[999
NOTARY FOR (SUCCESSOR
State of CU~ovctc~ )
1 )
County of I,-oft,, )
The foregoing instrument was ack
of ~oe~cm~er , IJ~1.L, by -~
as _ _
ledged before me this ~ a~ day
of
. Y -
•'v~NO~taryCP~tii i.c Cw 4 ~ a.r,
,,, l~
My:Cormmissiop, Expires
`~ <' My Commission Expires (:ouember 07,15:
'~ _.