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2009-12-21_PERMIT FILE - M2009094
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2009-12-21_PERMIT FILE - M2009094
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Last modified
8/24/2016 3:57:58 PM
Creation date
12/24/2009 8:11:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2009094
IBM Index Class Name
PERMIT FILE
Doc Date
12/21/2009
Doc Name
New 112c Appl.
From
Asphalt Constructors, Inc.
To
DRMS
Media Type
D
Archive
No
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7040 W. Hwy. 100 Alamwa, Co. 81101 {718} 5898871 <br />EXHIBIT R <br />PR OOF OF DELIVERY TO COUNTY CLERK AND RECORDER <br />Received bWLtO nh Q Date 1 c� - l `7 'L72 <br />AFFIDAVIT <br />BE IT ACKNOWLEDGED, that Todd Stockebrand, of Alamosa, Colorado, the undersigned <br />deponent, being of legal age, does hereby depose and say under oath as follows, I personally <br />delivered a copy of the Regular Operation (112) Reclamation Permit Application form complete with <br />all exhibits to the Alamosa County Clerk located at 402 Edison Avenue, Alamosa County <br />Courthouse, Alamosa, Colorado and requested that they retain it on file. <br />And I affirm that the foregoing is true except as to the statements made upon information and <br />belief, and as to those I believe to be true. <br />Witness my hand under the penalties of perjury this /1 day of a"�� 009. <br />Signature <br />
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