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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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• • JGravel <br /> Check One Water <br /> Soil M <br /> Other Q <br /> PURCHASE ORDER NUMBER i a D <br /> E1 Paso County 13 ory <br /> DEPARTMENT OF PUBLIC WORKS <br /> 31/70 /Century, Colo. Spgs. , Colo. 80907 <br /> Seller W ��f�✓ Dated /U '_-') 6 197q <br /> lddress Refer to the above number or <br /> �� i n provide a coot' of this order <br /> (,y, aFQ� with any claim you may find <br /> /-3y7- 1SYJ necessary to file. <br /> _ declare that I am owner of theti real property wherein <br /> exists and is located in Township 13 (s) , Range W, <br /> 3ection�l3 Quarter So✓ The Deoartment of <br /> 'ublic Works may purchase from me, in the quantity <br /> !stimated below, during the Deriod to include <br /> &- 2-c - k C subject to the follpQ�iing Special Provisions: <br /> . If n ne this will be so noted hereon) . .�lsly -��. �. �� 'V:fC J <br /> (21 <br /> snit of Approx. No. Cost <br /> Leasure of Units Per Unit_ ._ _. <br /> ayments to be made monthly by Warrants issued by El Paso County based upon <br /> he number of units purchased during prior month. <br /> (Signature of Seller) <br /> urchase Order Acquired by 'J"5J,�/'r'0 <br /> Signature <br /> � Title <br /> (Purchasing Agent) <br /> urchase Order Approved by <br /> Max L.--Ro hschild, P.E. <br /> Director of Public Works/County Engineer <br />
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