2019-09-30_PERMIT FILE - M2012050 ‎(3)‎

• 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:
Structure Owner Name
DateT / Title a-V f
je
STATE OF
}COUNTY OF �60� ) SS.
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The foregoing was acknowledged before me this day of �r 20�,by
l°�� �Q") �al� as MAtia Id'A$Ap/� 'r of Sr^ -E LLB
StAlk S My Commission Expires:
Notary P blie
TRACY A. STATES
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID#20064045541
2
My Commission Expires November 6,202
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