2019-08-13_PERMIT FILE - M2019037

• Permit No: M2019037
• IBM Index Class Name: PERMIT FILE
• Doc Date: 8/13/2019
• Doc Name: Adequacy Review Response
• From: Cheyenne County
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name
Date 2 — 9 Title
STATE OF CID
U— )Ss'
COUNTY OF We
r
The foregoi ig was acknowledged before me this a� day of J ,201 by
al,r� A t K as Q w h e-,r- of
4Ak:: My Commission Expires: (3 Zo -2
Notary Public
SCOTT M.SMITH
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 2006/00M
W COMMISSION EXPIRES FEBRUARY 13,2021