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By the Structure Owner: <br /> jj y <br /> Dv- <br /> By Structure ner s Representative and Title Date <br /> State of Colorado ) <br /> ss <br /> County of\., \,L) <br /> The foregoing ' lent was acknowledged before me this day otv.0,AIN, 20\-5 , <br /> •►'a ••• as \ of <br /> Notary`Public <br /> My Commission expires: NANETTE fORN <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19944018979 <br /> MY COM?*ISSION EXPIRES MARCH 8,2019 <br /> Page 2 of 2 <br />