2015-10-02_REVISION - M1977443

• Permit No: M1977443
• IBM Index Class Name: REVISION
• Doc Date: 10/2/2015
• Doc Name: Application Compelte SO02
• From: Northwest Aggregates Inc
• To: DRMS
• Type & Sequence: SO2
• Email Name: ACY
• Email Name: GRM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
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ACKNOWLEGED BY:
. Name
Title VPhe0
Date IG -3-,S
STATE OF cpiora�t� )
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COUNTY OF gOlk- )
TAe ` forego was acknowledged before me this 39A day of
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EMMANUELLE l MORTENSON
NOTARY PURIC
STATE OF COLORADO
NOTARY IDE 20133011 7S2
MY
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My Commission Expires:
by
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