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10:29/00 TUE 15:20 FI-X 916k19050 YAC BELL CORP REAL ESTAT OW5 <br /> FRCM : Fuller Excavating & Deny�,ic. FRN NC. : 9168588321 Ict. 1E 2200 12:17?M P4 <br /> UNIFIED PROGA AM CCNSCLICATE13 FORM <br /> Flxs <br /> UNDERGROUND STORAGE TANKS - FACI _TTY <br /> abI <br /> TYrf t!3CGN J ;,P@W f�T@rD]Nly 0 D.rt?PAv+wI rERYR V d.'„1NO@Cr unrertrurgwr wysnw. <br /> ,c.n..P.uPm.Pn sAro, 7 :r9RP.Nennr aose�sT=. <br /> � ]1M:ND9D OfRMIT tN UGv°D'Y7 �}'d rxwa NFNCvfO .ID <br /> d.IENRCPwNT ID�C'OfUR@ <br /> I.FACILITY/SITE INFORMATION <br /> nlEl rl.W <br /> 4911, w4mew .,•-C m n.b wP 3ID• <br /> w�AP s,:.aesasil"�!C bT .Lel:,-•GVNdR r t. <br /> _ - ..LCSA�AD:4c•glLriiC" <br /> IL <br /> .•PPowncw <br /> W/ �./�N(¢ I - C G.Cwt NTV AffHC1• ' <br /> Q *?AIM 9ry]M . <br /> V iGW,N[PGw: r]. •wR]NERSN,r <br /> TVPE 99 ON 9TA . I ❑ T, !ptGRAL AO U.CY• <br /> p :.cr,@ix/mR 0 +.MOC@SEOR Xv.oTw@P +aD ; •� _�_� <br /> 'I'w ,•WI{f ,l tle/RII.C,MROSOITNn er ^ro+nwmV rlevrocgVKr:r.�nTa upvw.0 er <br /> :C V,4w.wC 1T 91TF ' n,]dATM� A1Dw.NR.Vr Sr aGb rll•G1]OQ�i'OI <br /> ITA" <br /> I +a <br /> I <br /> if.PROPERTY O'ANER INPORMATON 1 <br /> rvufsn . NA ,,> I aACkE .ra <br /> N+ GE4HMPN FANII.y 'TX L?5r <br /> YAuno`cS3TR <br /> !�3ox 5333 lkA6 �E RNIar�}c <br /> -It Nlus ! c!k 4oz! o <br /> Ir"A95'rnnm vnZC+• ❑ x.�PowoueL C ,. _ee::1a@r+ev,asT@�eT C s. :ur:.cac. +.o i <br /> K, CCRPORATCN ❑ /.?MTN@R51•,P v /. :wSTY\DENGY C T sG£Z1L nGcNcv <br /> IIL TANK OWNER INFORMATICN <br /> QAGIF(G SELL fiU vn PrNAIJ y � --- —a.fE_972 �6 <br /> 370-7r—Tubs WAY — <br /> I $A�RANt6N•ty I GFE i 5 Q12.• � <br /> TANG M, Q r❑� ,. LOCAL £NGV IgQTFICT C] !'. ?Ta.TE sC1.Gv b <br /> p.l.CGIPCAATICM C 1, ewY1TN@PSwI/ J 5. :OUN,AoeNG C t PE'i[Pw:WCVC'� <br /> N.BOARD OF EQUALIZATION USC STORAGE PEE ACCOUNT MUMBE R <br /> TY(TR)NO I4 4 I call(91 E.-22 9"a 0 @Ves@cns DRse +2r <br /> V. P9,TROLGUMUSTFINANCUILRUSPON6961LRY <br /> Iq {E:P•INiYA9D ❑d 9UR91vf ❑ T.STs.E A➢ ,D .L'G+L Gan'r++fi.:M+•wiFM <br /> ❑ A 0]uA�rITER G 4. -9TTPA DF wa-, ❑ e. !TATE PUNO d WG zE ." W DTN@R: <br /> ❑2.MWNwItiP C♦ c.iMPTtM U ?. STiTR PUN',s CD <br /> YI.LEDAL NOTIFICATION AMC MAILING ADDRESS <br /> GMu e,w my a�ne.aln,n.w,avr...P '.AA�r•blgY Meq,MG rW AaM9. ❑ r.euTv ]. rTp .TY O+MP T.TANRdwEe aGhl <br /> LISA- %f Atul vw&*$,.GS,w!NYM h.v ptY a dNYTn I221.TQ.1 <br /> I i <br /> v@.APPLICANT SIGNATURE <br /> GM1unn' ISMr Ptl nv� .w vrOYM r..�v vvu m.wWM.WIro ,.z, Lq—� 1 <br /> DK@MNP nPPL,O.NT ' V O [,OII <br /> NY1i CG n00Y NT(pMv ,M i�!� A r ,.]i <br /> t/.JBNpFAN `lam Ple_r MwNG <br /> TVT(VST�KW <br /> NJmmamaPD•1 •E9T Iryy.�nilL+ uNBE ,.r lvraxue a.Jyl � � <br /> LWCF0199) f-o n"'V*CS Fpm F. <br /> I0 <br /> a <br />