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<br /> , E <br /> \ SECTION ll. APPLICATION <br /> 1. Name of Applicant: City of San foTarcos <br /> Mailing address: 630 East Hopkins <br /> San Marcos Tx 7Rfififi <br /> (City) (State) (ZIP) <br /> Contact Person: Frances Plocek <br /> Phone: (512) 393-8006 Fax: (512) 392-2ó?C) <br /> <br /> . - Applicant is a: (complete applicable blanks) <br /> . a. <br /> ¡ Texas Corporation, provide Texas Tax ID No,: <br /> Federal Employer ID No. <br /> Corporation outside of Texas, provide Federal Employer ID No. <br /> Partnership, provide names and social security numbers for all partners: <br /> (name) (SSN) <br /> (name) (SSN) <br /> Individual, provide Social Security No.: <br /> Lending Institution, provide: <br /> ~ Date of foreclosure: <br /> Other: Municipality ~ <br /> <br /> b. Applicant is the: (check all that apply) <br /> H Tank system owner ro Tank system operator <br /> ~ Facility owner 0 Land owner <br /> 0 Former owner 0 Former Operator <br /> I 0 Lending Institution <br /> I <br /> 2. If the tank system owner or operator, the facility owner, the land owner, the former owner, the former operator, or the <br /> lending institution is different than the applicant shown above, then complete the appropriate spaces listed below: <br /> - <br /> a, Tank system owner: N/A <br /> Mailing address: <br /> Phone: ~) <br /> Dates of ownership: / / to / / <br /> <br /> - N/A <br /> b. Tank system operator: <br /> Mailing address: <br /> Phone: (-) <br /> Dates of operation: / / to / / <br /> <br /> TNRCC APPLICATION FOR REIMBURSE.1vŒNT E-Z FORM 3 <br /> TNRCC-0230-EZ (1l-D1-94) <br />