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STRUCTURE OWNER -UNITED STATES FOREST SERVICE: <br />tkS_ :Forest erViGQ_ <br />By: _tG{ic <br />Title: WIA Psl-r(& n ✓' <br />State of GO l o ra'LO } <br />)ss. <br />County of M&Jwps } <br />Subscribed and affirmed before me in the county of—AAAA , State of <br />(_ , this . _ ,gw� __ day of <br />20 t 7 by E X 1N 8 b/sMC7-- P 2 of <br />KRISTIE A LAYMAN <br />Notary Public <br />-- <br />State of Colorado <br />Notary 0 20064047339 <br />N ary Signature MX Commission Expires Nov 20, 2018 <br />l/- 26— .9 ,Qza (Seal) <br />Commission Expiration <br />610436471 <br />