Laserfiche WebLink
~- ~,;~ <br />i <br />tiOTICE YROCEDL'RES <br />After the application has been filed ciith the Division, noCice pro- <br />, cedures outlined in Section 3.2 or 4.2 (whichever is applicable) must be <br />I followed. <br />-3- <br />• ADDITIONAL I:IFOR_*4'1TI0:: <br />~i This space can be referenced far further information of any of the items <br />I on this form. <br />• <br />To Che best of my knocrledge, all the information presented in this application <br />is true and correct. <br />• <br />1 <br />• <br />C~ <br />sy: ~ ~' ~, <br />.•ry Z(i / <br />Title: _~~cr r+c~e` . '~ ~w.~ ~,c /:: •.~~i~.,-~. <br />(Signed by individual legally authorized <br />to bind the operator to this application) <br />_~. <br />