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2017-05-02_REVISION - M1982015
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2017-05-02_REVISION - M1982015
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Entry Properties
Last modified
6/16/2021 2:21:15 PM
Creation date
5/2/2017 4:15:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982015
IBM Index Class Name
Revision
Doc Date
5/2/2017
Doc Name
Structure Agreement
From
Firestone Colorado
To
DRMS
Type & Sequence
SO2
Email Name
PSH
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant: Barefoot Lakes,LLC Representative Name: Marc Savela <br /> Date ?- Title: Senior Development Manager <br /> STATE OF <br /> 1 COUNTY )ss. <br /> OR �) <br /> 7 <br /> bThe�regoin ;was acknowle ged before me t$i� day of � _,201� <br /> DARCI DAWN BERTRAM Notary Public <br /> NOTARY PUBLIC <br /> STATE OF COLORADO My- 1S510 <br /> NOTARY IDS 20144044030882 <br /> MY COMMISSION EXPIRES AUGUST 05 2018 Expires: <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Structure Owner Colorado Department of Transportation <br /> Representative Name_Gary DeWitt Signature 7 <br /> Date Title Region 4 Material Engi eer-PE II <br /> STATE OF Colorado ) <br /> )ss. <br /> COUNTY OF Weld ) <br /> The foregoing was acknowledged before me this II 3Aday of Qe4 e 12016, <br /> by 6tMD.:: , as fc` aie,� t �,es, of t .z c.,to i <br /> RICHARD V BARKER Notary Public <br /> Notary Public <br /> State of Colorado My Commission <br /> Notary ID#20004018457 Tres: <br /> My Commission Expires 09.03-2020 Expires:_._. 3L202-0 <br /> oy co`t'•. <br /> 1420-2k Street, Greeley,CO 80631 P 970.350.2103 F 970.350.2179 www.coloradodot.Info <br /> tilg7�/ <br />
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