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2019-02-08_REVISION - M1997071 (5)
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2019-02-08_REVISION - M1997071 (5)
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Last modified
12/27/2024 8:27:23 AM
Creation date
2/11/2019 3:16:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997071
IBM Index Class Name
REVISION
Doc Date
2/8/2019
Doc Name
Application
From
Charles and Gail Zimmerman
To
DRMS
Type & Sequence
SO1
Email Name
JPL
MAC
BJC
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> n J / <br /> Structure Owner ll)nc_k 1-1, 11.5 Name s �1 ��C'�<<-} -( � c' ✓ <br /> c <br /> Date.// - /- 20/P) Title d���- ���,-, n ✓ <br /> STATE OF Colorado ) <br /> )Ss. <br /> COUNTY OFTUGbl l ) <br /> The foregoing was acknowledged before me this let day of OWQmber ,2018,by - <br /> Se-!h BoOihw as Man ems—of $lack M(1S0aojra-'hon <br /> My Commission Expires: 11 I-7 2L� <br /> Notary Public <br /> TERICHAPMAN <br /> Notary Public-State of Colorado <br /> Notary 10 20164044654 <br /> My Commission Expires Ndv 17,2020 <br />
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