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<br />-4- <br />ADDITIONAL INFORMATION <br />This space can be referenced for further information of any of the items in this form. <br />This application is an ammendment to permit 77-519 issued to <br />Bear River Sand and Gravel. <br />To the best of my knowledge, all the information presented in this application is true <br />and correct. <br />Date: 3~~ h~ ,1~~~ <br />BY ~ ~r -C d/il/cP~ <br />Cass Weber <br />Owner : Bear River• Sand and Gravel <br />it e <br />(Signature by individual legally authorized to <br />bind Ure operator to this application) <br />(Rev. 4/84) <br />Doc. No. 5547 <br />