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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner <br /> Name ,/" <br /> (Print Name if Private or Name of Business) (Print Name if Representative of Owner) <br /> Date Title <br /> (Enter either Owner if Priv"or Representative Title) <br /> W 1 t/fi r, <br /> Signature of Owner or Representative <br /> STATE OF COLORADO ) <br /> )ss. <br /> COUNTY OF EL PASO ) <br /> The foregoing was acknowledged before me this [ f h day of D V G(YI t r 2018 by <br /> (Signature df Owner}` (Title if Business) (Name if Business) <br /> 17AA�A*j 37, U)ku� <br /> My Commission Expires: <br /> Notary Public <br /> MICHAEL T WALSH <br /> NOTARY PUBLIC <br /> STATE OF COLORAoo <br /> MY COMMISSION EXPIRES:,_,,,,Gk,r7,a, <br /> I <br /> i <br /> i <br /> i <br /> 1 <br /> S <br /> I <br /> k <br /> i <br /> r <br /> Page 3 of 3 <br />