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_PERMIT FILE - M1980194 (4)
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_PERMIT FILE - M1980194 (4)
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Entry Properties
Last modified
1/18/2024 3:07:50 PM
Creation date
11/24/2007 11:22:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980194
IBM Index Class Name
Permit File
Doc Name
LIMITED IMPACT 110 & SPECIAL TEN DAY 111 PERMIT APPLICATION FORM
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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. . Gravelly <br /> Check One Water Q 1 <br /> Soil [] <br /> Other 0 <br /> PURCHASE ORDER NUMBER ID 3, <br /> E1 Paso County �ai7 <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 80907 <br /> eller (/ � �"" �`� I Dated 16 a 7 19;7f <br /> .1drIess / Refer to the above number or <br /> provide a cooy of this order <br /> _( R f �n.��e�•Lu �_ _ with any claim you may find <br /> /-3Y7= 7Ys} necesbary to file. <br /> declare that I am owner of the real roperty wherein <br /> xists and is located in Township (s) , Range 6/ W, <br /> ection / 7 , Quarter S W. The Deoartment of <br /> iblic Works may purchase from me in the quantity <br /> stimated below, during the period ley -d7 - 79 to include <br /> ,17- subject to the foll wing Special Provisions: <br /> If none this will be so noted hereon) . sj IVI.J Z <br /> SCl ! <br /> lit of Approx. No. Cost <br /> !assure of Units Per Unit <br /> iyments to be made monthly by Warrants issued by El Paso County based upon <br /> to number of units purchased during prior month. <br /> — <br /> (Signaturre of Seller) <br /> .rchase Order Acauired by <br /> clSignature <br /> aToGt/ <br /> Tit <br /> (Purchasing Agent) <br /> rchase Order Approved by <br /> Max Lf Rothschild, P.E. <br /> Director of Public Works/County Engineer <br />
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