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PERMFILE121750
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PERMFILE121750
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Entry Properties
Last modified
8/24/2016 10:20:01 PM
Creation date
11/25/2007 9:41:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992100
IBM Index Class Name
Permit File
Doc Date
10/2/1992
Doc Name
Limited Impact Operation 110 2 Reclamation Permit Application Form
Media Type
D
Archive
No
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<br />~roo~ ~ f /T1 c.', ~ir~r~ No`Ficr~ <br />~-o co m~ s~o r~'1~ <br />m;SENDER: ' <br />9 • Complete items 1,andlor~2 for additione4servieee. ow uw , ~,;~ <br />,~"y°: Complete items 3, end 4n,~ o~ ~^' ~~~ <br />an.tha*euewe'e4LLtis form so that wwe'c't <br />y ~ Print your name and,a9QWw~ N~ . -- <br />return this card to you,",-- or on the back it apace <br />1. i'~"•Attach this brm ro the ?rontof,the meilpiace, . <br />m does not permit. <br />Write"Return Receipt Requested"on the mailpiece Debw th•erdcle num <br />• The RewrnReceipt will show to whom the article was delivered erM that <br />~„ 0- delivered. 4a. <br />.i o 3. Article Addressed t <br />< m L Co . ~ ab. <br />~~ <br />0 <br />~- I f fsyyz wis to receive <br />~ollo~Aq a Idesr.Nor 8~$~ <br />m <br />7. ^ Addressee's~g,ddress rn <br />•, G <br />Z, ^ Restricted Delivery m <br />Consult ostmaster for tee. <br />cle Number E <br />GLo <br />m <br />vice Type <br />n ^ Registered ^ Insured ~ <br />///1 c <br />~d / !/" ~I Certified ~ COD <br />' H ~ ^ Express Mail ^ Return Receipt for ~ <br />w /, ~~ ~~-~ I rchandise e <br />I ¢ F4~GC- ~ lLi - ... 7. <br />,' a ~i~r ~ <br />8. <br />5. Signature IAddresseel <br />t ~ <br />g¢wbg 6. S'g at IAgt~ entl^'~, \ <br />da PS Form 381.1x, D~+ece'7m'ber 1997 n us.o.P.o.assxam-sso <br />-,. <br />3 Of DeIlVery ~ <br />~-a8.9~. ° <br />Iressee's Address (Only if requested ~ <br />fee is paid) ~ I ra <br />FL- <br />SENDER: '-~ "' <br />,~ ,'~~,~.•' Complete items 1 and/or 2 for~edditional services. "' ""' ' <br />n a Complete items 3, and 4a 8 b. . - <br />f' ~ Prinq your name end address on the reverse of thiy"(prm so tharwe`den ' <br />~'m'raturn this card to you. .,.",r;a.^ •""'" . I <br />gttach [fda loan to the front o/ the meilpiace, or on the beck if apace <br />,'•~°~"doea not permit. <br />m • Write "Return Receipt Requested" on the meilpiaca below tM article number <br />r « The Return Receipt will show to whom the arti<k was delivered an0 the date <br />i CO delivered. <br />•.. v 3. Article Addr/ ~sqs ed to: ~ 4a. An <br />t-(~u~n <br /> <br />Ilov~fR~ls~ vices Ifor an extra <br />9I: t <br />1. ^ Addressee's Address <br />n <br />2. ~ Restricted Delivery •m <br />msul[ postmaster for fee. m <br />Number ~ <br />r% 4b. Service Type 2 <br />J 6~t.~.Z~'" ~~~t4-d,y. ,^~ Registered ^ Insured W <br />rn -{~ ~ L7 Certified ^ COD <br />W ~ ~C/..C~,~CI~` p ^ Exprea Meil ^ Return Receipt for ~ <br />~ .. / ~~~~~ Merchandise <br />Z 7. D f Dely ery_ ~ '' <br />Q ~~S/ G/ o <br />0 <br />~ 5. Sign a Addressee) 8. A dresse 's Address (Only if requested ,,< <br />and (ee is paid) <br />6. Si a ure ant) <br />PS Form 3811, December 1997 b U.S.G.P.0.:1632-30]-530 DOMESTIC RETURN RECEIPT <br />
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