2007-03-07_REVISION - M1988112

• Permit No: M1988112
• IBM Index Class Name: Revision
• Doc Date: 3/7/2007
• Doc Name: Notice of Extended Decision Date and Formal Public Hearing
• From: DRMS
• To: Parties and Interest Persons
• Type & Sequence: AM2
• Media Type: D
• Archive: No

AUTHORIZATION TO APPEAR ON BEHALF OF A PARTY
(Please Type Or Print the Requested Information)
SIGNATURES MUST BE IN BLUE INK
I
(person's name) (title, if applicable)
of
hereby delegate to
(name of company, association, organization, etc. if applicable)
(person or entity's name)
the right to appear on behalf of at the Pre-hearing conference.
( company, association, organization, etc.)
SIGNED AND DATED THIS DAY OF ,
If corporate attest (seal)
Authorized Signature (must be signed in blue ink)
Title:
State of
County of
The forgoing instrument was acknowledged before me this day of ,
by as of
Notary Public
My commission expires:
SIGNATURE MUST BE IN BLUE INK
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