PERMFILE132622

• Permit No: M1978268
• IBM Index Class Name: Permit File
• Doc Date: 8/17/1978
• Doc Name: LIMITED IMPACT AND SPECIAL PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

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NOTICE PROCEDIIRES
After the application has been filed with the Division, notice pro-
cedures outlined is Section 3.2 or 4.2 (whichever is applicable) must be
followed.
ADDITIONAL INFOR*SATION
This space can be referenced for further information of any of the items
on this form,.
To the best of my knowledge, all the information presented is this application
is true and correct.
Title: Chairman OuraV Co. Bd. of COmmi rpi nnPnrs
(Signed by individual legally authorized
to bind the operator to this application)
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