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

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name
Date
STATE OF )
ss.
COUNTY Of }
Title
The foregoing w&q acknowledged before me this day of , 2o_, by
as of
Notary Public
My Commission apices: w