PERMFILE136835

• Permit No: M1978279
• IBM Index Class Name: Permit File
• Doc Date: 8/21/1978
• Doc Name: LIMITED IMPACT AND SPECIAL PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

NOTICE PROCEDURES

After the application has been filed with the Division, notice pro-
cedures outlined in Section 3.2 or 4.2 (whichever is applicable) must be
followed.
ADDITIONAL INFORMATION'
This space can be referenced for further information of any of the items
on this £orm.
To the best of my knowledge, all the information presented in chis application
is true and correct.
SY~ ~~. __ _ __
Title:
(Signed by individual lega ly aut ~z d
to bind the operator to this application)