2014-02-21_REVISION - M1990134

• Permit No: M1990134
• IBM Index Class Name: Revision
• Doc Date: 2/21/2014
• Doc Name: Amendment Request AM02
• From: James and Kathleen Ross
• To: DRMS
• Type & Sequence: AM2
• Email Name: SJM
• Email Name: GRM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
l � Vu-�� Structure Owner \ %� �/� V (
Date 11 " 4• " 0 Title N-1, U tv ce—�
STATE OF C6 l o Y Coda)
) ss.
COUNTY OFD 04CI+ )
The foregoin w acknowledged before me this `'� day of �� , 2( ) J, by
OOt,YV R� 01O S as (f) LkY-� ''` of
0 � L/V-6-4, j A/)- G V -0�y Commission Expires: L� O c� G -7
Notary Public
ASHLEY M. GREEN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID #20094022648
My Commission Expires July 8, 2017