2019-09-30_PERMIT FILE - M2012050

• Permit No: M2012050
• IBM Index Class Name: Permit File
• Doc Date: 9/30/2019
• Doc Name: Completeness Response
• From: Oldcastle SW Group
• To: DRMS
• Email Name: ACY
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY: L �+
Structure Owner 1"5 r ,r4 Name
Date g-2-( ` 7ur� Title
Ower.
MIL
0f
STATE OF l®C4° )
) ss.
COUNTY OF iii(.tS a' )
The foregoing was acknowledged before me this-21rday oftt l.AS ' 20 . ,by
NOC��' 63 GC as Darner of ?I Q I/0.get •
aula. ga5 My Commission Expires: 1( (1)1'/? ?'2
Notary Public
TRACY A.STATES
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 020064045541
NMCanrNMbnE UWatberA2022