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PERMFILE102868
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PERMFILE102868
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Entry Properties
Last modified
8/24/2016 9:56:36 PM
Creation date
11/24/2007 9:21:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1999021
IBM Index Class Name
Permit File
Doc Date
3/1/1999
Doc Name
CONSTRUCTION MATERIALS REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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<br />°' SENDER: <br />m <br />'~ • Complete items 1 andor 2 for adtlNOnal semces. <br />w .Complete items 3, 4a, and 4b. <br />I also wish to receive the <br /> <br />fallowing services (fof an <br />b <br /> <br /> <br />u • Pnnl your name and addresa on the reverse of this form so that we can return Ihis <br />wrtl to you. <br />• Atach Ihis loan to the tmnl of the ma+lWece, or on the back its ace does not <br />p extra fee): <br /> <br />1. ^ Addressee's Address w <br />~ <br /> <br /> <br />~ <br />perm°. <br />• Wnte 'Return Receipt Requesred'on the mailpiece below the articl <br /> <br />e number. <br />2. ^ Restricted Deive <br />N 2 <br />u <br />N <br /> .The Rehm Receipt will show to whom the article was delwered and the tlale <br />tleirveretl. ConSUll ostmaster for fee. <br />P <br />n <br />0 <br />v <br />m 3. Adicle Addressed to: 4a. Artie,-I}~ f~~ <br />~' u~m~ber ~ ^ ` <br />3~~ ~/ <br />I m <br /> / <br />/ sly/~ Y/I <br />SQ/~ <br />~QQ r ' r W <br />W <br />o. . <br />LC <br />/ 4b. Service Type <br /> < C1 S <br />/ <br />J/ <br />A /f - <br />`, ^ Registered Certified <br />^ Express Mail ^ nsured ¢ <br />~ <br /> / <br />~~ <br />~ <br />Ik~ <br />/ v/ ~C N . / C ~ t' c..V <br />A <br />- <br />/ ^ Return Receipt far Merchandise ^ COD ~ <br /> ~ ~ I <br />C ~ <br />0~ <br />., <br />~a fl~ 7 <br />Date of Delivery <br /> r ~ <br />~~ <br />J . <br />`z-z~z-9~ o <br /> <br /> 5. R ivcjd 8y: (Print Nam 8. Addressee's Address (Only i/requested x <br /> ~~~ and tee is paid) ~ <br /> L <br /> 6. Signature: (Address or ge t) ~ <br />'o X <br />`-^ PS Form 3811, December 1994 <br />^ Re istered <br />$ ~. a ~o x ~~ 90 9 <br />~/~ ^ Expre~Mail <br />{,./_ ~~ ~~r h s W ~D.~~' ^ tlwl fteteipt to <br />1" G J ~ // Q ~ 7. e Deliy~n <br />7 4.~ ~~ <br />i <br />5. Received Ry: (Print Name)~~. ~' ~/ ~ t' Andre Ac <br />~ ae'Paid, <br />6. Signature: (Addressee or Agent) ~ `~~~~` c~~ <br />o X ~~ <br />;; SENDER: <br />$ .Complete hems t andor 2 for additional services. <br />.+ .Complete items 3. 4a. and ab. <br />d • Pnnt your name antl address on the reverse of this lone so teal we can return this <br />tl1 cab to you. <br />w • Attach this loan to the Iront of the mailpiece, or on the back it space does not <br />pe~mil. <br />d . Wnte 'Return Receip( Requested on the mailpiece below the ad~cie number <br />t • The Return Receipt will snow to whom the article was delrveretl antl the tlate <br />delivered. <br />0 3. Article~rAdAdres/s/ed to: ~/~ ~ / 4a. Anic~e <br />O. gU WL~h Ct ~ `rV U y. ~ ~~~~~C/._.ATiCIi <br />102595-98 8-0229 <br />I also wish to receive the <br />fallowing services (for an <br />extra fee): <br />1. ^ Addressee's Address <br />2. ^ Restricted Delivery <br />Consult postmaster for lee. <br />l~l~ <br />~'Credlfled <br />^ Insured <br />^ COD <br />u <br />.~ <br />N <br />6 <br />u <br />.~. <br />6 <br />m <br />c <br />.y <br />O <br />'T <br />Y <br />C <br />_~ <br />= PS Forth 3811, December 1994 10259598-8-0229 DOff12SIIC RetUrD <br />
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