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<br />. 51 {) <br /> SEctION n. APPLICATION <br />. 1. Name of Applicant: City of San Marcos <br />I Mailing address: 630 East Hopkins <br /> San Marcos Tx 7RñF.F. <br /> (City) (State) (ZIP) <br />I Contact Person: Ray Dinges <br /> Phone: üL2..) 1"i1 If IIIIII Fax: <21.1..) 39ñ-4ñ"iñ <br />I a. Applicant is a: (complete applicable blanks) <br />I Texas Corporation, provide Texas Tax ID No.: <br /> Federal Employer ID No. <br />t Corporation outside of Texas, provide Federal Employer ID No. <br /> Partnership, provide names and social security numbers for all partners: <br /> . ~ .. <br /> (name) (SSN) <br />I (name) (SSN) <br /> Individual, provide Social Security No.: <br />I Lending Institution, provide: <br /> Date of foreclosure: <br /> Municipality i <br />I Other: <br />I b. Applicant is the: (check all that apply) <br /> XI Tank system owner );I Tank system operator <br /> 1f¡ Facility owner 0 Land owner <br />I 0 Former owner 0 Former Operator <br /> 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 />I lending institution is different than the applicant shown above, then complete the appropriate spaces listed below: <br /> .. <br />1 a. Tank system owner: -NA- <br /> Mailing address: <br />I Phone: <-) <br /> Dates of-ownership: / / to / / <br />I b. Tank system operator: -NA- <br /> Mailing address: <br />t Phone: <-) <br /> Dates of operation: / / to / / <br />f TNRCC APPLICATION FOR REIMBURSEMENT E.Z FOR.,\1 3 <br /> TN1?rr..!y?"H)..F7 ( J ..[) ..Q.1) <br />