2017-04-18_PERMIT FILE - M2017012

• Permit No: M2017012
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/18/2017
• Doc Name: Structure Agreement
• From: USDA Forest Service
• To: DRMS
• Email Name: ERR
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner - ,�r . Name
v �o3f1�o J G/C�l� s
Date ////3 12-0 r7 Title
STATE OF (—D G✓a�c�)
) ss.
COUNTY OF
The foregoing was acknowledged before rye thiA day of �I , 2017, by
S as (�i Ste( C-f -e v of ry; (Q
4LU�4ommission Expires: 2;�
Notary Public
ERIN N.SPRINGER
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20104004471
My Commission Expires 02-16-2018