2019-04-02_PERMIT FILE - M1974086

• Permit No: M1974086
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/2/2019
• Doc Name: Structure Agreement
• From: Ben Langenfeld
• To: DRMS
• Type & Sequence: AM4
• Email Name: ECS
• Media Type: D
• Archive: No

To:'DBMS Den Page S of 11 2019-04-02 15:59:32(GMT) 13032008630 From: Ben Langenfeld
NOTARY FOR STRUCTURE OWNER WITHIN 200 FT OF 5 MILE PIT AFFECTED AREA
ACKNOWLEGED BY:
Structure Owner a '; rrxLi"Name
Date - Title ors
STATE OF .
)ss. -
.
COUNTY OF )
The foregoing was acknowledged before me this day.of. t 20
.. by
f ma
My Commission Expires: Q— 4LO.
• Notary Public .
DEANN E-BOYLES
NOTARY PUBLIC
STATE E OF COLORAOQ
NOTARY I©#�04�4013603
HIY COMMIss,0 £XPiNEB Cd-19-2020
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