REV10784

• Permit No: M1988044
• IBM Index Class Name: Revision
• Doc Date: 6/4/2001
• Doc Name: TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO3
• Media Type: D
• Archive: No

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Edward C. Levy Company d.b.a.
Centennial Materials, Inc.
Name: of Pertnittee
By ~ Atdi
Signature of Officer
l/~,~,~ ".u0n~
Title of Officer
s-

SUCCESSOR OPERATOR
Schmidt Construction Company
Name of Successor
By ~11~~c.a..e
Signature of Officer
T office~~
NOTARY FOR PERMITTEE
State of . C C'~~Orc~1 ^p )
County of ~d~l W...S )
The foregoing instrument was aclmowledged before me this day of M aOb' by
~O}~ ~Q~15 as ~~ce Pc-es~ae of
Edwcu d C. Le~ ~ rv~DCtnv d. b. a, C' e c~-~er,c~~1a1 (~,~2c'tY~1s,Tn-c ,
Notary Publics 7~Q ~ !~ • ~~
My Commission Expires SV. a7 CO~
NOTARY FOR SUCCESSOR
State of CDI~~~O
ry ~~l~,~C~L.S j
Coun of
The foregoing instrument was aclmowledged before me this ~ ~ day of CSC ~ , by
~~ ~~lS as y1C2~SIc~2n`j ~of
~lnm,d} ~'o~r~S-kuclion ~y
Notary Public ,~OXT"t9~ ~`/y'
My Commission Expires S~ ~o~~ ~~~