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Get Application For Prospecting - Maryland Department Of The Environment - Mde State Md

Te.md.us NOTICE OF INTENT TO PROSPECT/ APPLICATION FOR PROSPECTING PERMIT Permit Application No.: Date: Type of Prospecting Operation: Drilling Excavation APPLICANT IDENTIFICATION AND INTERESTS 1. 1.1 Name of Applicant or Company: 1.2 Permanent Address: City: State: Zipcode: Telephone No: 1.3 Is the Applicant a Licensed Maryland Operator? YES NO If YES, list Operator's License No. 1.4 Is the applicant a: 1.5 Corporation Association Other.

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