PERMFILE105534

• Permit No: M1991133
• IBM Index Class Name: Permit File
• Doc Name: REGULAR OPERATION 112 RECLAMATION PERMTI APPLICATION FORM
• Media Type: D
• Archive: No

~~ • ... • •
BK. 350
PG. 48
'•
4. I understand that statements in the appllcatton are being made under penalty
of perjury and that false statement; made herein are punishable as a Class 1
misdemeanor pursuant to Section 18-5-503, C.R.S.
Slgned and dated this ~~L day of
.;
M11: FL72ARF'P!I ('n Rr'YA ac attorney for
Applicant/Operat~,r ()enirtrio and olive Valdez If Corporation Attest (Seal)
By' ------- - - --- By'
i tie: ______ __________ Corporate Secretary or Equivaler
TowniCfty/County Clerk
.F
State of ~ ~ ~ >
..___. _ ) SS.
County a _..._~____. _._ ~
I
r
The fnranning instr~iment was a,knowledged before me this (~rt<day of ~
bo j ~^ __1' . _ a; :c<• r/ of ~D.~yrd7,.,0 ~ ~d /, /
~~
Notary Publt
My Commission Expires'
F
i08/91) ?:;sF