2016-12-13_REVISION - M1981207

• Permit No: M1981207
• IBM Index Class Name: Revision
• Doc Date: 12/13/2016
• Doc Name: Request For Succession Of Operator
• From: Western Slope Aggregates, Inc.
• To: DRmS
• Type & Sequence: SO3
• Email Name: ACY
• Email Name: GRM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:*
Structure Owne Name
Date l Title
STATE OF )
) ss.
COUNTY OF L )
The foregoing was acknowledged before me this ZY day of Novu4- -i6- r , 20_&, by
19o1ora.% Q l vG
as O &.*w+e r'
of S 4-&, Amr+"G S
My Commission Expires:
Notary Public
TIMOTHY OLK
Notary Public
StL
ColoradoNotar0194038408My Commix fres 10-06-2020