2019-07-29_PERMIT FILE - M2019036

• Permit No: M2019036
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/29/2019
• Doc Name: Adequacy Review Response
• From: Cheyenne County
• To: DRMS
• Email Name: BFB
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name_ �"
Date - �8 �� Title
STATE OF i,l Yejb )
)ss.
COUNTY OF I'�
The oregoing was Walowledged before me this day of J 20 �,b
as U�%Y�{?Y of vfnns ► c
Lol, 09 A�2a4
My Commission Expires:- ,a3
otaiy Public
MALISSA FERNANDEZ
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 201 5401 611 0
4 ,,iy COMMISSION EXPIRES APRIL 23,2023