2015-01-22_REVISION - M2013007 ‎(4)‎

• Permit No: M2013007
• IBM Index Class Name: REVISION
• Doc Date: 1/22/2015
• Doc Name: Incompleteness SO01
• Type & Sequence: SO1
• Email Name: WHE
• Media Type: D
• Archive: No

i1iQT'ARY FUK, STRUCTURE OWN
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ACKNOWLEGED BY:
Structure Owner — Name
Date _ - Trtic —
STATE OF _ )
� 5S.
COUNTY OF )
The foregoing was acknowledged before me this day. of , 20 by
as _ of
My Commission E:xpires:
Notary Public: