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
ACKNOWLEGE B :
Structure Owne Name
Date S (M) L 4 Title (je t4
STATE OF
) ss.
COUNTY OF
The foregoing was acknowledged before me this �4%- day of 20 / y , by
as ��LYiPYi� c ti i^Y of C 1fc C (t --i5C CtiiL' L��
�J
My Commission Expires:.,- / (C L c - t-.1
otary Public