2016-09-01_REVISION - M1985212

• Permit No: M1985212
• IBM Index Class Name: REVISION
• Doc Date: 9/1/2016
• Doc Name: Completeness Response
• From: Arkins Park
• To: DRMS
• Type & Sequence: AM3
• Email Name: MAC
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEDGED BY:
Structure Owner 6A44"_CJL e?dA_yT_j Name
Date O8/z3/(6 Title
STATE OF Ci/0'A 4 Wi )
) ss.
COUNTY OF n i'4-L c^.- )
The foregoing was acknowledged before me this 234 day of .4v5 y1 �" , 20�,
by l?,,,,-4 A_ as C. U y aX of
h-L c Co d A,,/y
CNARLES W JOHNSON
NOTARY PUBLIC
STATE OF COLORADO
My Commission Expire ;: NOTARY ID 20004024359
my eemmiftleN EXPIRES W1&2016
Not ublic