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REV106065
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REV106065
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Entry Properties
Last modified
8/25/2016 1:20:45 AM
Creation date
11/22/2007 1:31:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977057
IBM Index Class Name
Revision
Doc Date
6/25/1998
Doc Name
TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
Type & Sequence
SO2
Media Type
D
Archive
No
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_B- <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 SUCCESSOR OPERATOR <br />ttee / Name of Successor <br />~: <br />By ~~-- -~C By <br />Signa ure of 0 icer Si tur of Off" er <br />Title of Officer Title of Officer <br />NOTARY FOR PERMITTEE <br />State of , / Lo%,-ado ) <br />County of /rlo~~u f ) <br />The foregoing instrument was acknowledged before me this ~ q Jam' day <br />of r. ~ ,[~~, by ~.e oK. ~e rl~~.'IY n, <br />ds p0ii'ncS~I~P~ Of Sir fie, /~a~rrrii f <br />Notary Public L. <br />My Commission Expires /~/~/z~oa <br />-~ <br />NOTARY FOR S~J~CESSOR <br />//LLLI.''__~ , <br />Staffs of ^ __~lpp.~C.~'tcz ~Eu ) <br />County of 7~1~ ~asd-i) ) <br />T foregoing instrument was <br />of L2. ,~, by <br />as <br />acknowledged before me this ~ day <br />of <br />Notary Public <br />My Commission xpires o~-/~- <br />
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