2016-09-13_PERMIT FILE - M2016050

• Permit No: M2016050
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/13/2016
• Doc Name: Application
• From: C Road Pit
• To: DRMS
• Email Name: SJM
• Email Name: GRM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner r!r. d'.�, �t�r�, Name
Date Title
STATE OF U) )
ss.
COUNTY OF MC-SQL )
The foregoing was acknowledged before me this I CT day of S�ternbe,' , 20 ILA by
Alan PG1.7'VeI—c.t;,-A as Poiine-e of R+Cd Par Me 7s►�i�, LL P
— Q4OL :lam Xu My Commission Expires: 8-3-14
Notary Public
LAURA L HARTMAN
Notary Public
State of Colorado
Notary 10 19994021447
My Commission Expires Aug 3, 2019