2019-07-07_REVISION - M1979103

• Permit No: M1979103
• IBM Index Class Name: Revision
• Doc Date: 7/7/2019
• Doc Name: Request For Succession Of Operator
• From: Meeker S&G
• To: DRMS
• Type & Sequence: SO5
• Email Name: DMC
• Email Name: THM
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner`b i,� k2-a Name,771D;'i xi n V
Date Title &44." �
STATE OF )
) ss.
COUNTY OF
The foregoin was acknowledged before me this 4AY of , 20/9, by
of
I / My Commission Expires: ho
a Public
JODI 0 SCHRE113ER
NOTARY PUBLIC
STATE OF COLORADO
NOTARY 10 20064001792
MY COMMISSION EXPIRES OCTOBER 6,2022