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1996-08-06_REVISION - M1984099
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1996-08-06_REVISION - M1984099
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Entry Properties
Last modified
7/12/2022 1:53:47 PM
Creation date
11/21/2007 5:45:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984099
IBM Index Class Name
Revision
Doc Date
8/6/1996
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICTION FORM
Type & Sequence
SO2
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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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 an& Financial Warranties in <br /> place of the Warranties presently on file with the State. <br /> P-E-RRMI'TTEE 1 SUCCESSOR OPERATOR /► I I <br /> I eC.�oy��aE �VS?rLACJIOXO �o�l�- Sr�J,.. LCHSTtL,c�On �p <br /> Name of Permit ee Name of Successor <br /> BY BY <br /> Signature of Officer Signature of Officer <br /> Title of Officer Title of Officer <br /> NOTARY FOR PERMITTEEf� <br /> State of V ) <br /> SIGH ) <br /> County O s ) <br /> OTAR <br /> e f e gg�oi )°i ss ment was acknowledged before me this day <br /> of O by <br /> as of rtPr. G Jfl()( T*C <br /> OF CO <br /> My Commission Expires July 23,1997 Notary Public <br /> My Commission Expires <br /> NOTARY FOR S�qUCCCtESSrSOR <br /> State of LA) ) <br /> County of ) <br /> T e f in, instrument was acknowledged before me this day <br /> of GH pp, by <br /> as of 4C/ <br /> to W-0— O <br /> 7�PUBLI 40 0 Notary Publ i s f 4 <br /> FOF CO�'O My Commission Expires /U\ <br /> My Commission Expires July 23,1997_ <br />
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