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2019-04-02_PERMIT FILE - M1974086
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2019-04-02_PERMIT FILE - M1974086
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Entry Properties
Last modified
12/27/2024 9:18:56 AM
Creation date
4/2/2019 2:30:33 PM
Metadata
Fields
Template:
DRMS Permit Index
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
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To: 'DBMS Den Page 11 of 11 2019-04-02 15:59:32(GMT) 13032008630 From: Ben Langenfeld <br /> NOTARY FOR STRUCTURE OWNER WITHIN 200 FT OF 5 MILE PIT AFFECTED AREA <br /> ACKNOWLEGED BY: <br /> Structure Ownet o k Narne _ u <br /> Date �Q1rix kIJ <br /> „ .. <br /> STATE OF _) <br /> }Ss. <br /> COUNTY OFF *r- } <br /> The rc ing s ac o� ledged before me this/day of 2Q r�, by <br /> 4ras -.Of— <br /> My'+ t <br /> Commission Expires.3 � <br /> .i <br /> Notary Public <br /> TERESE VIRGINIA LOMBARD <br /> -: Natafy Public <br /> State of Colorado <br /> Notary ID 8 20194005048 <br /> Mx C4mmesslan Expires 02-12-2023 <br />
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