2017-01-18_REVISION - M1977559

• Permit No: M1977559
• IBM Index Class Name: REVISION
• Doc Date: 1/18/2017
• Doc Name: Application
• From: Valco, Inc.
• To: DRMS
• Type & Sequence: SO1
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGEU BY:
I 6- --
Structure Owner i" � Name
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Date Title _ eC:../� ���
STATE OF
ss.
COUNTY OFF, )
The foregoing was a-knowledged before me this aO day of ,1 Q ,Zp �(� by
of
� tar. „A My Commission Expires:
Notary Public —
CAROL GILLIAMM W RTON
Notary Public
stall 0f COtorado
Notary 10 20004050717
Cortlmia1lon t: tras Oac 91,201s