2015-03-03_PERMIT FILE - M2015006

• Permit No: M2015006
• IBM Index Class Name: PERMIT FILE
• Doc Date: 3/3/2015
• Doc Name: Notices
• From: DRMS
• To: Various
• Email Name: MAC
• Email Name: TAK
• Media Type: D
• Archive: No

ACKNOWLEGED BY:
Structure Owner
NOTARY FOR STRUCTURE OWNER
Name
Date Title
x
STATE OF )
) ss. ;
COUNTY OF ) j
,
The foregoing was acknowledged before me this day of 120__, by
as of
,
My Commission Expires:
Notary Public
x
i
+i
{
i
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