Laserfiche WebLink
NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner: <br /> Print Name: Title: <br /> Sign Name: <br /> Date: <br /> STATE OF COLORADO <br /> SS: <br /> COUNTY OfLARIMER / <br /> On this day of ,2017before me personally appeared, <br /> known to me to be the persons whose names are subscribed to the above <br /> instrument and who acknowledged to me that they executed the same as their free act and deed. <br /> IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal the day and year in this certificate <br /> first above written. <br /> MY COMMISSION EXPtRES: Witness my hand and official seal. <br /> Notary Public <br />