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PERMFILE118280
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PERMFILE118280
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Entry Properties
Last modified
8/24/2016 10:13:58 PM
Creation date
11/25/2007 5:00:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994117
IBM Index Class Name
Permit File
Doc Date
5/3/1995
Doc Name
LIMITED IMPACT 110 APPLICATION FORM
Media Type
D
Archive
No
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As m wthoni~d~ of Ike ! MerEGY caRhr that tlft <br />teyreean~ve apD6sattC vpentian dterntxd hu nui Ne minuttrm <br />ttpHlretatrtY of tht fdl°seT1{ tam! utd ra0ttdftlau <br />I AH setwe+ey epptowla tam 1°eel {ovesresartt Mvs been ayptied tDr i R~la 1 ti 1(1) and (SU. <br />7 '1Ri~ coma mm~ttlt optlatlOf1.1Y111 net 6%Q1d rnaa that! X0.000 ta+L of taatdn~ °verbwdmf, or ram'twrDmt <br />Hereof in ony oekndlt Yar (daffited m RuM 1.1 !2q), <br />3. mtttiry ttpaatian +r02 not advoncly alkeu the tubtLty of soy etgttifiartt ~sltutde sttd pertnatettt mam <br />msQe svtiututaie) doowd rvtttto~ tro twnCred (400) feet of tba ta~eetd Lads. (has+.ver. v;tae Utac r. a <br />epentwtu between Etc appbearWapmetor ad Eu per+ons hatrotg en interest ~ tha styuttq+e Our dunce. ro Etc <br />71}Uan1le L SO 60 twlt{Delasted Cat bS' E1C eppluettVOye:~tot (Stebnrt 8~t-JS•t1S (~ (dt, C;.0..$ Imo, 4 <br />tentiued), thea min4ty m.y occcv wi0tin 200 Ger. Roof o! m eQMentmt mtut b subapMd to O+e OtEoo <br />ptwt to the 4wion date.) <br />~. No trWtittg gpera00tt etdl 6e bated on lands where stteh opga0oat ve pdti`aad by lt+e' lctction 30..7'.-t le <br />(e) ((J, C.It. e. )9t1a, u emeadadk <br />7. Aa tha cpplieane'opewor, t do nm hava vtY mittittptptospetbtt/ apacEetu m this +ata of Cokrado nurattly <br />m vlosati°n of Ota ptovi+iwu o! 0ts Mmad land Reelatneoat Act (9eetion 34.32.110. C 0..S 1981, w <br />ur+mpdecn u detetnta+ad thrtxt~t a Bond l+ndint- <br />o f un6ttmM Nat aaeent~lta~A U+a apptltatitm ate ~i Ruda tntde Dwtatri o1 perju+y cod that 6dea <br />+aoe{rwntamttde Aeaat +7e puealubL as a Chtee I miae~seeanor pantunt to S.aaon !8•t• SO?, C it s t99~; ea <br />attended <br />SO+d rd da',d thu ~_deY ~ _ . ~~ <br />i <br />__ ADDYeatttrf)paattX ~ -.~. fCoyogt`tt At07t ($tap ~saNa+e+Nlq <br />9 Cotpaw ~N«s41av~ <br />hW: ~ TOrNCJb'/COttlltYCiek <br />i <br />54ta of ~ 1 : ~ t <br />"~YYrr <br />Cwnty of ~ <br />J µ ~I~~• <br />Tlfe fotaBNng t w sdmoeMdpd bttloee me Esc d.y of ~~_~, 1geae1ea'm~' <br />by ____`._... i o _...~_ _..---- °f - --- -- ---- - <br />~NOOey Athlio <br />MY Conmyiotr F,xytree. <br /> <br /> <br />
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