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2003-06-17_REVISION - M1978222UG (3)
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2003-06-17_REVISION - M1978222UG (3)
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Entry Properties
Last modified
6/16/2021 2:28:49 PM
Creation date
11/21/2007 10:45:17 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978222UG
IBM Index Class Name
Revision
Doc Date
6/17/2003
Doc Name
SO Application
From
Fred and Betty Holley
To
DMG
Type & Sequence
SO4
Media Type
D
Archive
No
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-5- <br />PERMITTEE <br />In~trna'ilona~ ~ranil.w~ ~uJh~ ~rnor.a~]aK <br />Name of Permittee <br />SUCCESSOR OPERATOR <br />~~~n~~~~~,. <br />Name of Successor <br />13 ~ ~, <br />Y <br />Signature of Officer <br />Ro ~ F. I~ocL.sfc iti <br />~rQ 37~dG~ 6 (,~IR f C1/tGl~(r)~2/IOLtr <br />Title of Officer <br />sy r ~~~~ <br />Signature of Officer <br />-i-UVO i 1/ ~ ,~ <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of ~ ~ \~c\r~ ~ c'~ 1 <br />County of ~r~sric ~~ ) <br />The forego11i``ng instrument was aclmowledged before me this ~ day\ of 'n~5+t~2 /1.(Zm~ - by <br />~O~ ~. ~JC~"\S~P~I .A\ aS~rP ~~~Y\~ --~ C'\lP\' C.~nf t\~1/P O1'H~ID ~- Of <br />\ )I(('~4\ <br />1111! ~\)Ih l Vet\~ ,~['~Or~.,-~VN <br />11 <br />!//////~ <br />`~ `' "~.''' <br />i B <br /> <br />Monks L <br />Fi <br />l 1 ~ ,~ <br />Notary Public IV U VaN. (~ <br />~~(! J~ <br /> <br />o4I"" ' <br />"'°" <br />' . <br />u <br />m <br />Notary Publ(c <br />smta orCokrado <br /> <br />My Commission Expires - <br /> <br />~ <br />S <br />~` , <br />NOTARY FOR SUCCESSOR <br />State of l c~~ [X c~ GI U ) <br />County of 1~- ~~~~-R 5 ) <br />The foregoing instrument was aclmowledged before me this ~_ day of S l x n a v~ ~ 03by <br />~c'.:~c~ ~• ~c~~, e ~I as ~ Yl(;~t tl ~ ~~ U t<F~ of <br />`~: <br />~~_ <br />- ... <br />__ ~`` ` <br />~~ -- <br />(+~ n~l~ <br />°~~~~Y <br />Notary Public C~dJtJ <br />My Commission Expires ~^~'- ~ ~' Z~ 3 <br />
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