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2007-05-19_REVISION - M1980189
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2007-05-19_REVISION - M1980189
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Entry Properties
Last modified
6/16/2021 2:15:58 PM
Creation date
11/21/2007 6:39:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980189
IBM Index Class Name
Revision
Doc Date
5/19/2007
Doc Name
Transfer of Permit and Succession of Operators Application Form
From
Rocky Mountain Materials and Asphalt, Inc.
To
DRMS
Type & Sequence
SO1
Media Type
D
Archive
No
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<br />PERMITTEE <br />,E/ f~,50 CAe+.w'~'~ <br />Name of Permittee <br />ay <br />S' nature of Officer <br />`D~~r~~~ <br />Title of Officer <br />-5- <br />SOCCE`SSOR OPERATOR <br />c IL c~ ~ ~~L~~ .b `~~L <br />Name of uccessor <br />BY 'moo ~.' ~l ~Q~.Q1 F'1/~ <br />Signature of Officer <br />~.G \,~~s <br />Title of Officer <br />NOTARYFORPERMITTEE <br />State of ~rJ ~/^ !ado ) <br />County of ~ ` p~.s o ) <br />The foregoing instrument was acknowledged before me this ~ day of ~~LJli .5 T , ~cz~by <br />~~~H~i /~ ~K ~C.~r~ as D i R F ~'' ?E- ~ of <br />/mod f~l9S ~ c''eyfc s~ 7 `r' ~ _.O~~t~~U~ntr..ff~r~~i.~ <br />Notary Publicf~ <br />My Corrmrission <br />~ ~~ i <br />N <br />: 9j.'.,YVBLIG.'Q~ <br />~~P <br />i~~~~4~,OR COQ-~..P~~~ <br />-State of l ~l~r(^1~~-) - - -- <br />County of E1. ~:tsC~ ) <br />ot•tatt <br />
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