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_PERMIT FILE - M1980194 (4)
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_PERMIT FILE - M1980194 (4)
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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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• • Gravel,u <br /> Check One Water <br /> Soil [] <br /> Other C7 <br /> PURCHASE ORDER NUMBER �vZ� <br /> E1 Paso County adaa 3 <br /> DEPARTMENT OF PUBLIC WORKS <br /> 3170 Century, Colo. Spgs. , Colo. 80907 <br /> �� =���F, 4,-ei0-7 <br /> aller 'wv.t G� 5J1� Dated Z' Z <br /> ]dress 1�)Cr u Refer to the above number or <br /> Fithian a copy of this order <br /> with any claim you may find <br /> necessary to file. <br /> declare that I am owner of the real property wherein <br /> :ists and is located in Township /a. (s) , Range !�, w, <br /> !ction ),a, , Quarter S The Deoartment of <br /> iblic Works may purchase from me, in the quantity <br /> ;timated below, during the period le- ?-7- '79 to include <br /> subject to the following Special Provisions: <br /> f n ne this will be so noted hereon) . Zl'/ <br /> ,it of Approx. No. Cost <br /> -asure of Units g^Per Unit <br /> U16-r <br /> yments to be made monthly by Warrants issued by El Paso County based upon <br /> e number of units purchased during prior month. <br /> (Signature of Seller) <br /> rchase Order Acquired by V <br /> Signature <br /> Title <br /> (Purchasing Agent) <br /> rchase Order Approved by <br /> Max'L, Roths hild, P.E. <br /> Director of Public Works/County Engineer <br />
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