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2016-02-12_REVISION - M1992051 (3)
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2016-02-12_REVISION - M1992051 (3)
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Entry Properties
Last modified
6/16/2021 2:21:13 PM
Creation date
2/23/2016 11:49:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992051
IBM Index Class Name
Revision
Doc Date
2/12/2016
Doc Name
Application Complete SO02
From
Langston Concrete
To
DRMS
Type & Sequence
SO2
Email Name
TC1
WHE
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: / <br /> Structure Owner +E 1.4"k,l1///1IS Name a/, <br /> Date Title yey f o,.�5 c�y Oe'R 1/!3a/1 <br /> STATE OF CO(OY ) <br /> ss. <br /> COUNTY OF <br /> T oregoi g�was ac o le ged fore e thi day of I�CC'(1' ,20 <br /> l/t`ti ��as }� f 1V <br /> �` ) Y My Commission Expires: C� <br /> Notary u lie <br /> NOTARY PUS 1L C <br /> STATE OF COL.ORADO <br /> ��A4ISSION EXPIRFSS4�OO�OSUARY 7,2019 <br />
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