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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner �a\�n e c Nam <br /> (Print Owner's Name) (Owner's signature) <br /> Date Title T�j��.��,- <br /> (Falter either er if Private or Representative Title) <br /> STATE OF COLORADO ) <br /> )ss. <br /> COUNTY OF EL PASO ) <br /> The foregoing was acknowledged before me this day of C c �h H; ,2018, by <br /> as <br /> < My Commission Expires: <br /> Notary Public Signature <br /> FCATHERINE HANSEN-LEE <br /> NOTARY PUBLIC <br /> ATE OF COLORADO <br /> TARY ID 20054012316 <br /> MISSION EXPIRES 03-28-2021 <br /> Page 3 of 3 <br />