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PERMFILE134001
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PERMFILE134001
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Entry Properties
Last modified
8/24/2016 10:34:42 PM
Creation date
11/26/2007 1:49:22 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994053
IBM Index Class Name
Permit File
Doc Date
5/18/1994
Doc Name
RECLAMATION PERMIT - APPLICATION FORM
Media Type
D
Archive
No
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<br />-5- <br />4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 13th day of <br />Base Products <br />Appl i~ 1:i,Operator <br />By: / <br />Title: Owner <br />1994 <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />State of Colorado ) <br />ss. <br />County of Montrose ) <br />The foregoing instrument was acknowledged before me this 13thday of Mav 1994 <br />by Tony F. Aapelhanz d5 Owner of Base Products <br />Notary D'ublic <br />My Commission Expires: 9-30-97 <br />2823E (02/05/93) <br />
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