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I authorize Mellott Company to investigate any and all of the statements I have made in this application for employment as necessary for us to make an employment decision; This application for employment shall be considered to be active for a period limited to 45 (forty-five) days from the date we receive the form.

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Form Description Form Name and Link (All forms are Word documents unless otherwise noted) Permit App. Fee Form Valid 1/1/20 to 12/31/20 2020 Application Fee Form

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B2 Why is the application being made? ( new plant . B3. Will you either: a) list the crushers and screens applied for and give their serial numbers in this application form? ( Yes ( No. Or . b) submit a list of plant with serial numbers and notify the authority in writing with a revised list before any different equipment is used? ( Yes ( No. C ...