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REV97207
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REV97207
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Entry Properties
Last modified
8/25/2016 3:21:38 AM
Creation date
11/22/2007 12:07:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980228
IBM Index Class Name
Revision
Doc Date
2/6/1995
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO2
Media Type
D
Archive
No
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<br />-s- <br />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 and Financial Warranties in <br />place of the Warranties presently on file with the State. <br />PERMITTEE <br />Name of Permittee <br />~/ I~ <br />Signature of -Officer <br />vlV~~~ <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of ) <br />County of ~n,,,, ~ ) <br />The foregoing instrument was aclynowle <br />of P - , ~~l by ~,~ <br />as t,.1V~ f v~ o <br />SUCCESSOR OPERATOR <br />be <br />Notary Public <br />My Commission Expires <br />NOTARY FOR SUCC/ESSOR <br />State of ~/)( j},P,g,(~p ) <br />//~~ ) <br />County of LA /'~Ar~ ) <br />The foregoing instrument was ackr wledged before <br />of /~ by <br />as UlGE - eSi~~EJVT of ,e <br />_.~., <br />_ti• <br />~ = C? <br /> <br />this ~ day <br />S <br />Notary Pu is - <br />My Commis ron Expires J-~ ~- 96 <br /> <br />` MY Commission Ecpirs F2~r <br />ore me this 1T~ day <br />T \ - <br />
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