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OWNERSffiP NOTIFCAIION REQUEST FORM <br />Kit Carson County Assessor's Office <br />251 161h St, Bmiington, CO 80807 <br />Abbey J Mullis, Assessor <br />719-346-8946 ph <br />719-346-6017 fax <br />Person, cif by mal please notate) hil U <br />I <br />' Date Request Made <br />ICmxent Property Owner D %/I�l -�'2 G i �l'.t Y 9L <br />PamelNumber -0z- 07 /Z -UQ <br />i <br />We Map Mane � / g <br />Done by <br />Search Ciitezia: within a distance of / of parcel listed above. If <br />dffmu tplease explain <br />i <br />I <br />Signatxoe ofperson making request <br />Please note the maps used are for assessment proposes only it is not <br />necessarily accurate by smveymg standards. Do not use for legal <br />.. conveyances. .. _ <br />.f r <br />