2015-12-04_REVISION - M1997065

• Permit No: M1997065
• IBM Index Class Name: REVISION
• Doc Date: 12/4/2015
• Doc Name: Complete SO02
• From: Stone Wholesale
• To: DRMS
• Type & Sequence: SO2
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner W 't- CC, t `Y1 C . Name V SSt. l,\ 0 t --Q- -t' VCR'
Date
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STATE OF (mak b rug 0
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COUNTY OF w
Title k)Y1..2. S i
The foregoing was acknowledged before me this t day of
'VJASell yJ. as pn,4gi .4 of
4/, 20 15, by
‘Al ft- t n C.
A2My Commission Expires:
Notary Public
KIMBERLY D NELSON
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 0 20144045497
MY COMMISSION EXPIRES FEBRUARY 24. 2019