2016-06-01_REVISION - M1998071

• Permit No: M1998071
• IBM Index Class Name: Revision
• Doc Date: 6/1/2016
• Doc Name: Technicall Revision TR01
• From: Tim & Justin Kuntz Trucking, LLC
• To: DRMS
• Type & Sequence: TR1
• Email Name: ERR
• Email Name: WHE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY: ///
Structure Owner �/y G� I/1//� f�C7W K Name
Date //— e?,? , Title
STATE OF C )
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COUNTY OF / P5
The foregoing was acknowledged before me this day of /�*X , 206,by
as of
i My Commission Expires: oC
Nota ublic
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20154008945
MY COMMISSION EXFIRES FEB. 18,2019