My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PERMFILE136161
DRMS
>
Back File Migration
>
Permit File
>
400000
>
PERMFILE136161
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 10:36:51 PM
Creation date
11/26/2007 4:17:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1999021
IBM Index Class Name
Permit File
Doc Date
5/12/1999
Doc Name
PARTY STATUS REQUEST FORM
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
`. ~ ST. III IIIIIIIIIIIII III ADO <br />MINED LAS.,, n~~9i r-r+la ~ ION BOARD <br />PARTY STATUS REI~UEST FORM <br />I request that I be named as a party <br />I request that I not be named as a parer <br />I request to be withdrawn from party status <br />In the matter of File No. M-~- 6Ll <br />'~ECEIVFD <br />MAY 12 1999 <br />Division oiMlne~ & ~~ <br />1091' <br />Regardless of your status, please fill in your name and address so the Division can send you <br />information on this matter. <br />It j o r~ ~ . ~ a of rl r'c ~ ~- <br />P ~ ted N e <br />Addr s <br />(a ~~ ~ ~535~ <br />City, State Zip Code <br />Y~y - ~7G~ <br />Home Phone # <br />c ~ - <br />Work Phone # ~~~ <br />r ~ <br />FAX # f7o -~P~- O~U J <br />1 C~ ~~~ <br />Signa re <br />5//~~ <br />D tae <br />If you are requesting to be named as a party, pleas: briefly descr'be belew hcw you may be <br />affected or aggrieved by agency action in the matter referenced above. Include a statement of <br />your opposition or support in the matter. You may ab:ach a written statement to this form instead <br />of filling in the space below. Include a specific description of the issues that you feel need to be <br />addressed at the final hearing before the Mined Land F.eclamation Board. <br />l~~ "-~ ~ ^o-c w~4+-~ tJ ~G2 Ccra~c~e a.~ ~e~f~ lid <br /> <br />- v-,,t v tsr,- u.,An .p_.~ ~ ~- <br />~re-r lip ~~ ~ A1-14 a a b~(,-af,-a ~ ~ W r J~o,~~X../._2 <br />2 (1 nn -A-- _ .- i Il-~ ~L <br />
The URL can be used to link to this page
Your browser does not support the video tag.