2018-10-12_REVISION - M1998022

• Permit No: M1998022
• IBM Index Class Name: REVISION
• Doc Date: 10/12/2018
• Doc Name: Request For Amendment To Permit
• From: The Gallegos Corporation
• To: DRMS
• Type & Sequence: AM1
• Email Name: DMC
• Email Name: WHE
• Media Type: D
• Archive: No

STATE OF COLOR-ADO )
ss.
COUNTY OF )
The foregoing Agreement was acknowledged before me this Miki day of c\/I
2018,by Gary Woodworth as President of Gallegos Masonry,Inc.
My commission expires. 3/7 17-0?/
Witness my hand and official seat.
Notary Public
KRISTOPHER M. KEYS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID#20134018581
My Commission Expires March 21,2021