Texas Register, Volume 15, Number 94, (Volume I), Pages [7233-7360], December 18, 1990 Page: 7,279
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Appendix A, continued Name of Applicant
AGENT FOR THE APPLICANT. A person authorized to act for the applicant is an agent
for the applicant.
A. Name and Title:
B. Function:
(Registration Request, Site Operations, etc.)
C. Telephone Number: ( )
D. Street Address:
Zip Code
Mailing Address:
Zip Code
APPLICANT
A. Name:
(Individual, Corporation, Government Agency, or other legal entity)
B. Telephone Number: ( ) -
C. Street Address:
Zip Code
Mailing Address:
Zip Code
(Signature of Applicant or Authorized Agent)
(Typed or Printed Name and Title)
(Date)* Proposed Sections December 18, 1990 15 TexReg. 7279
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Texas. Secretary of State. Texas Register, Volume 15, Number 94, (Volume I), Pages [7233-7360], December 18, 1990, periodical, December 18, 1990; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth201791/m1/47/: accessed May 1, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.