2015-04-28_PERMIT FILE - M2015022

• Permit No: M2015022
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/28/2015
• Doc Name: Construction Materials
• From: Lazy H Inc
• To: DRMS
• Email Name: PSH
• Email Name: WHE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY':
Structure Owner Name G
Date Ap % Z 3 s /S Title f
T
STATE OF
) ss.
COUNTY" OFWad )
The foregoing was acknowledged before me this n3 day of a&j 20 15, by
Qocl i�1 r„ r ac r� as ofc— ��Ti��
My Commiission Expires:
Notary Public
Susan K Kihman
Notary Public
State Of Colorado
Notory ID 20044041221
My COMMUM lx jw D"nber 24, 2016
Addendum l.docx I Cngineering Arruryuw, IIIL-