2014-10-10_REVISION - M1979097

• Permit No: M1979097
• IBM Index Class Name: Revision
• Doc Date: 10/10/2014
• Doc Name: Structure Agreement
• From: City of Fort Collins
• To: DRMS
• Type & Sequence: SO5
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
v
ACKNOWLEGED BY:
C(od4 WPStala VG;Iwq o�CUD lo(11� CC
Structure Owner Name
Date I p 01�,( . Title C.�0
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STATE OF )
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COUNTY OF�nyel )
The foregoing was acknowledged before me this day of Qe olo4'r ,201�,by t
K2Jin S11�b�_ as CE—o rw iY&i�t .oF C`vlora.�o
' My Commission Expires:��
Notary Public
WAY J.HILL
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20044039318
MY COMIASSION E)M8 NOVEMBER 1,2016