2014-06-20_REVISION - M1981207 ‎(10)‎

• Permit No: M1981207
• IBM Index Class Name: REVISION
• Doc Date: 6/20/2014
• Doc Name: Application AM01
• From: Western Slope Aggregates, Inc.
• To: DRMS
• Type & Sequence: AM1
• Email Name: SJM
• Email Name: GRM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner. L dt/p?yq Name
Date -,�-/a1 //y Title AAnaA&-r-
STATE OF egv��)
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COUNTY OF 1�74e-4 tF- )
The foregoing was acknowledged before me this;?/ day of M , 20Z51-, by
C. D DN OWE; as C
g1P+ i AD
My Commission Expires:
o P
JEFFREY A.FRANKE
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20114003703
MY COMMISSION EXPIRES 02/1812015
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