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REV105307
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REV105307
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Entry Properties
Last modified
8/25/2016 1:16:56 AM
Creation date
11/22/2007 1:25:08 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983090
IBM Index Class Name
Revision
Doc Date
4/21/1994
Doc Name
TRANSFER OF PERMIT & SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO3
Media Type
D
Archive
No
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~~ <br />-a- <br />Permittee and Successor hereby request the State to consent to the assignment of <br />the Permit, to recognize 'Successor as Successor Operator under the Permit, and to <br />accept the tendered substitute Performance and Financial Warrantles in place of the <br />Warrantles presently on file with the State. <br />PERMITTEE <br />~~ _ <br />Title of Permittee <br />NOTARY FOR PERMITTEE <br />State of ~Alnred~ ) <br />-) <br />County of W11J ~) <br />Th foregoing instrument was acknowledged <br />of ~1'f _, by <br />NOTARY FOR SUCCESSOR <br />E <br />SUCCESSOR OPERATOR <br />~ALL'~/xf (AVSflt~bl ~D. <br />Name of Successor <br />By •~i. rl>.' <br />Signature of Successor <br />V4 f~EY~!>ui <br />Title of Successor <br />me this 7~ day <br />of tics-I- Gt/~nls/e~~ l~ldc....a 'W• <br />Notary Publ i c r.~~7'~~- .-- <br />My Commission Expires /0 20/ 9 7 <br />State of C~r~ ~o%'xd 6 ) <br />County of ~~ ~q ) <br />'fh <br />The foregoing instrument was acknowledged before me this ~ day <br />of Q~/~ 94 _ by ~~ ~~o~Ti ~~~ <br />as V,'c~e. ~/~c5~'tr'a,c1-~ of ~ ~l/-~llrcL~i,cJ ~`o,~t~,~'ue~o <br />Notary Public .c ` ~ -~~ , «• <br />My Conunl5sion Expires /~ <br />
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