Laserfiche WebLink
NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner _ C /,bkc.S Name <br /> (Print Owner's Nam) (Owner's signat } <br /> Date 'L Title ti; ,�;' <br /> (Enter either Owner if Private or Representative Title) <br /> STATE OF COLORADO ) <br /> ) ss. <br /> COUNTY OF EL PASO ) <br /> The foregoing was acknowledged before me this :ZA _day Of k yr—tftWX > 2018 by <br /> ` _ ,l111 n hp h as Outrite of 164 V ,,o wA_QA <br /> mot <br /> My Commission Expires: <br /> No Public Signature <br /> MELISSA A ARCHULETA <br /> Notary Public <br /> State of Colorado <br /> Notary ID 20004013173 <br /> My Commission Expires May 3, 2020 <br /> Page 3 of 3 <br />