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 Owner li1--Da
Date .01.2 0 / 4
STATE OF C�oGa eA0o }
Name � �a��isa�lc1 SC's
Title NT- !9r - 1di4 r �r4w,46 BBQ.
COUNTY OF 2W 6r--5,,4) )ss.
The foregoing was acknowledged before me this day of '} ai , 20AAL, by
Zhu .. A► TR r! y Me.
_ My Commission Expires: 5-- k 1
FKATHY VALDEZ
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID #2004,4041673
my Coitnnis w Boea March 11, 2017