Transcription of Application for Permit Transfer - New York State ...
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PART 1 - TRANSFEREE (New Owner/Operator/Lessee/Applicant) Completes: 1. List Permit Number(s) And Their Effective And Expiration Dates:List Pending Application Number(s): 2. Name Of Transferee:Telephone Number (Daytime): Transferee is a/an: (check all that apply) ( ) Owner Operator Mailing Address: Email: Lessee Applicant If other than an individual, provide Post Office City, State , Zip Code: Taxpayer ID Number: 3. Name Of Facility/Project:Location (or Street Address, City, State , Zip Code, if applicable): Town / Village / City: County: 4.
Application for Permit Transfer and Application for Transfer of Pending Application
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