REV13048

• Permit No: M1976051
• IBM Index Class Name: Revision
• Doc Date: 3/5/1984
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Type & Sequence: AM1
• Media Type: D
• Archive: No

• •
• -a-
ADDITIONAL INFURI~WTIDN
Tnis space Can be referenced for further information of any of the items in this form.
This application is an amendment to permit 76-51 issued to
Bettger Sand and Gravel.
• '
To the best of my knowledge, all the information presented in this application is true
and correct.
Date: ~- - 1- `/ ~y By:
OY~NERS BETTGER SAND AND GRtiVEL
1L e
(Signature by individual ley ally authorized to
bind the operator to this application)
~\
• (Rev. y/83)
Doc. No. 5547