PERMFILE112246

• Permit No: M1982155
• IBM Index Class Name: Permit File
• Doc Date: 12/13/1977
• Doc Name: LIMITED IMPACT AND SPECIAL TEN DAY PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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NOTICE PROCEDiT£.ES
After the application has been filed with the Division, notice pro-
cedures outlined in Section 3.2 or 4.2 (whichever is applicable) must be
followed.
ADDITIONAL INFOIL~tATION
This space can be referenced for further information of any of the items
an this ;form.
To the best of my knowledge, all the information presented in this application
is true and correct.
l~
Title: //i~~ ~-~~° S ~ ,
U
(Signed by individual legally authorized
to bind the operator to this application}