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2013-06-17_PERMIT FILE - M2013018
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2013-06-17_PERMIT FILE - M2013018
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Entry Properties
Last modified
8/24/2016 5:21:30 PM
Creation date
6/18/2013 3:50:14 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013018
IBM Index Class Name
PERMIT FILE
Doc Date
6/17/2013
Doc Name
COMPLETE & UPDATED 11c PERMIT APPLICATION PACKAGE
From
OPERATOR
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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AFFIDAVIT OF MAILING <br />In the Matter of the Limited Impact (11) Operation <br />Reclamation Permit Application <br />State of Wyoming ) <br />County of Laramie ) ss. <br />Lonny Graves, Operations Manager, of Pine Bluffs Gravel & Excavating, Inc., being duly <br />sworn, deposes and says: That he is over the age of eighteen years; That on March 14, 2013, by <br />regular first class and /or certified mail properly enclosed in a sealed envelope with the prepaid <br />postage thereon, he deposited in the United States mail, at 115 W. 4th Street, Pine Bluffs, WY, <br />82042, a copy of the original Construction materials Limited Impact (110) Operation <br />Reclamation Permit Application Form and exhibits addressed to the following: <br />Weld County Clerk /Recorder <br />1420 N 17th Avenue <br />Greeley CO 80631 <br />The receipts for certification of said letters are hereunto annexed and made a part <br />hereof. I certify that the foregoing is true and correct. <br />Dated this 14th day of March, 2013. <br />Lonny Graves, Operations Manager <br />Affiant <br />Subscribed and sworn to before me this 14th day of March, 2013. <br />ELARIAMIE RAH L. MOM; — NOTARY PUBLIC TY 0� STATE Of WYOMING ommission res 1 - ary Public <br />
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