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2019-04-02_REVISION - M1974086
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2019-04-02_REVISION - M1974086
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Entry Properties
Last modified
12/27/2024 9:24:27 AM
Creation date
4/2/2019 2:31:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1974086
IBM Index Class Name
REVISION
Doc Date
4/2/2019
Doc Name
Structure Agreement
From
AOC
To
DRMS
Type & Sequence
AM4
Email Name
ECS
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER WITHIN 200 FT OF 5 MILE PIT AFFECTED AREA <br /> ACKNOWLEGED BY: <br /> Structure Owner P Name <br /> Date � Titlecs%s � <br /> STATE OF('Q1.r.,4A ) <br /> ss. <br /> COUNTY OF r ) <br /> The foregoing was acknowledged before me this' day of , 20J-9, by <br /> asof EalrmaL�rt1- ;�c�"ro#-�- f-�ow I�Is+r1e <br /> My Commission Expires: <br /> Notary Public <br /> RNOTAR� PUUBLICS <br /> STATE OF COLORADO <br /> NOTARY ID#20044013603 <br /> MY COMMISSION EXPIRES 04 19.2020 <br />
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