2019-04-26_PERMIT FILE - M2019005

• Permit No: M2019005
• IBM Index Class Name: PERMIT FILE
• Doc Date: 4/26/2019
• Doc Name: Adequacy Review Response
• From: Fremont Paving & Redi-Mix
• To: DRMS
• Email Name: JLE
• Media Type: D
• Archive: No

OTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY-
Structure Owner (45 41[111V5 Name
Date Q ? Title C ,�nn ►TSB ��—
STATE OF
ss.
COUNTY OF )
The fore Ding was acknowledged before me this day of I 02r 20a,by
Z as� nn j 5�rrry of
n� My Commission Expires.
Notary Public
PANote rry Publ cE0
State of Colorado
Notary ID#20174027419
M commission Ex Tres June 28 2021