2016-04-06_REVISION - M1987113 ‎(3)‎

• Permit No: M1987113
• IBM Index Class Name: Revision
• Doc Date: 4/6/2016
• Doc Name: Request TR03
• From: Bestway Concrete, Inc.
• To: DRMS
• Type & Sequence: TR3
• Email Name: MAC
• Email Name: WHE
• Media Type: D
• Archive: No

CONTRACTOR:
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By:By: Charles C. McKay
ATTEST:
(f,d
STATE OF COLORADO )
)ss.
County of , )
The foregoing instrument was acknowledged before me this /S-day of
2015 by <<'I a" r '. r'l`1ct✓ .'as-.
of JOAN FRANCES YATES -�
NOTARY PUBLIC
WITNESS my hand and official seal, NOTARY 0 0 COLORADO
01340 40018
COMMISSION EXPIRES JULY 16,2017
(SEAL) - - -//
ry
Ne a Public
My commission expires: 3 :5 c,. 0 I .
9