PERMFILE121628

• Permit No: M1993050
• IBM Index Class Name: Permit File
• Doc Date: 7/26/1993
• Doc Name: REGULAR OPERATION RECLAMATION PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

-5-
4. I understand that statements in the application are being made under penalty
of perjury and that false statements made herein are punishable as a Class 1
misdemeanor pursuant to Section 18-8-503, C.R.S.
Signed and dated this 27th day of Mav 1993
Raymond F. & Robert W. Dellacroce
Applicant/Opera r
By:
Title: /~o w ti ~~
By: ~.~" il~Q~a~
Title: ou-~nai
State of Colorado )
ss.
County of El Paso )
If Corporation Attest (Seal)
By:
Corporate Secretary or Equivalent
TownlCity/County Clerk
The foregoing instrument was acknowledged before me this 27 day of Mav 1993
by ~avmond F. Dellacroce as owners Of
and Robert W. Dellacroce
2823E (12/92)
Notary Public
My Commission Expires: 9/8/96
~~ ss:> s-~-~
{;. . sea...
c~ , = • 'w
r, ; }~ ~ rig ! ~~ i' ;
i3 "~,, C3L.11; .
1,~ ~ ' s .
~r ~ ~~°0~ s ,e•' ya
i .7;.
1. _ ... -