2016-02-08_PERMIT FILE - M1992051

• Permit No: M1992051
• IBM Index Class Name: PERMIT FILE
• Doc Date: 2/8/2016
• Doc Name: Structure Agreement
• From: Langston Concrete, Inc.
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

ACKNOWLEGED BY:
NOTARY FOR STRUCTURE OWNER
Structure Owner City of Florence, Colo. Name Mike Patterson
Date February 1, 2016
Title City Manager
STATE OF COLORADO )
) ss.
COUNTY OF Fremont )
The foregoing was acknowledged before me this 6f -day of February , 2016 , by Mike Patterson
as City Manager ofCity of Florence, Colorado
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Nota n/ Public
My Commission Expires: 7 / 2 Z / 201 `l
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