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Nltl(d'A~ f1~a 1 .1N11 h1,~Nr~(,F.MI'.N ! u()i'6i 5S:' <br />THEE USE APPLICATION AND PERMIT Faptrafion Uate <br />?bIS <br />VEGETATIVE OR MINERAL MATERIAL - <br />- - - - - -- -- - - - - - - - { i?isnin <br /> <br />1C and nl martod ~ I EmmalnJ puunntY . , <br />e ~ecai IanJ L~v r. al..~n <br />~. i~tJ'15HIP I '~til~l ,^ _ SGRl11YISIDN <br />Sara w - --- - - ~ Coun4' oI ... ~ r. <br />\Iairnai. a^. M be n.al fur _ - <br />I Ny R ENY ~YGRCC T4 Cbhtpl Y 1h'ff 11 the sparal comliuuro a• mf forth Ixlnw. I CER TIDY flat tbe: !al maanals to br ttmnvaJ are [n be uatd for the p,rDnae no1pJ <br />about. ~ bl n+mr et+M matt:+al • rtlnaveJ uc Io n_ vdJ m hanereJ. (cl Irmoral u! mattndl un begin only upon rtcnpl n! an apprmttl;npyul thin ptrlmt, anJ. IJI the <br />aulnorunf oGco n to N. uunficJ upon :ampktwn nl rctnowl <br />1 CFRT'IFY Thal I am a au,tan u1 the CmkJ 5t+te+. anA nl the ape nT mwlamy m the Stale In whwh I rodt <br />I fGRT NPN (-E RTIFY Thal IAt vlam111en[a made by me m this appheahnn ar. !rue, emnpkle. anJ corM to the bear e! my CnnwIeJl3e snJ belkf and are milt m gwd <br />faun <br />r / , / _L <br />(Date) tSilmature of Aprlicantl <br />Tnk IeUS.t 5rarnn hgLne+\cva•o+mafor aaytxnon teowmpy anJ willfully to made to an)depanwata yescyalthr l;mnd Surn situ langl:nn,nw.nrlnWUkat mumenna <br />rcMQKmtlmnl ar In am •uancr w~m:n ~n IuruJ¢1roe. - <br />- --`- PERMff <br />SPECIAL CONDITIONS <br />1 hit permit n harbv issued Iw the mamnxll +pplled Tor nut may be tancela) d it appear+ that thin ptimN wu nsue4trruntotulY ache terms or eoMiuuru e~wntrl <br />harm art not nbacncd It .hall he whled lathe lollawrn~ •pcaal condinuna: .,3 <br />~(;AivP.d <br />MAH 2 0 2006 <br />~armnA .lUllf ergo Fuaq lllhi u <br />Dirbwtl n1 Mmerab h GnolutdY <br />l'umervaunn ptadue•muu hecarricd uutmprovldN bylICFR SSII I-Ilbl, b31a1. <br />IM7 S T: <br />Fympnrtn4 pennn+l properry, and imprmcrrcnta nuw K rtmoved within mncW lull) <br />dry. duI rapnauun Jatc J4 CPR SSI 1351. <br />Any u•e of rite •unoee of the tanJ• mvohed m thn p:cmn .hall be ouch a• not m <br />mlrrlnr wish situ mmmR clnm.ubMt tothepruviuomM $ffition J nl the het nl July <br />!1, IVS}Itlt l.iSC hl }I: <br />the prtm:t[a .hall ckan up all work areas an.1 rhall remove rr dupwt nl aU rvlua <br />rculnoll Irom the Drrrattte'a opoauuo•. <br />I hit pcrmn o rtwN under IAc Ap al luly 11 I W' r+ anrcrded, an4 JJ 4 S C anJ <br />I :ml, arf ludo the Ir<t u•e pnnlrye nl the A.y ul May I~, Ia9A Ulna\a nnlyl <br />Aa mnualrtpon+dllnnnathe amnum (ru. yd• or tana)nl matmdranoved mu,r be <br />Gkd with the Uumrt MFre on the annb'enan~ Ja[e of Ihr permit, or rnhtn than /.tp, <br />days olar pomp caDrrnwn IAlar\a only! <br />IDs1e1 ISifnatutt nt Aut h_InxeJ IXf'nxr! <br />DISTRICT OFFICE <br />