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REV99673
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REV99673
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Entry Properties
Last modified
8/25/2016 3:23:31 AM
Creation date
11/22/2007 12:29:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985184
IBM Index Class Name
Revision
Doc Date
5/5/1998
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS - APPLICATION FORM
Type & Sequence
SO2
Media Type
D
Archive
No
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.c .. . ~ • <br />.~ -5- <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 />~~~~ ~ / <br />Name of Permittee <br />By <br />Signature of Officer <br />SUCCESSOR OPERATOR <br />~(L~lo~ SvpP~`1 <br />Name of Successor/ <br />ignature of Sfficer <br />0 c,c> yt ~,(~ <br />Title of Officer <br />NOTARY FOR PERMITTEE <br />State of l.o (02Wtc~o ) <br />- - - County of ~- ~-~ ~^" e2 ) <br />L/v4~-yJL ~_ <br />Title of Officer <br />The foregoing instrument was acknowledged before me this U ~= day• <br />of 1(Y>r .°ti Y 14 4 8 by ~ '~ ~ lL `N ~ w-r Wr <br />a s O t1-~ ~ •e.r2. of ~~ W -c~c_.-t-c-Fk ~ ' <br />NOTARY FOR SUCCESSOR <br />State of C o~0 2~4-cJla ) <br />County of L- dt-12 ~ y~ e..2 ) <br />Notary Public ~c _ L~. ~~~~ <br />My Commission Expires +-(- ~~- 49 <br />The foregoing instrument was acknowledged befor~elme this >•-1 T~ day. <br />of 1/1/<_ u4 ~ 14411 , by /J 2 ~ da~c PL ~i ((i o ~C <br />as Olu,~r~~2... of ~; lliotit Su~d~~-~~- <br />Notary Publ i c AR-e.e~ <br />ti <br />My Commission Expires ~{-Z~-'9~/ <br />
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