2019-11-27_PERMIT FILE - M2019058 ‎(19)‎

• Permit No: M2019058
• IBM Index Class Name: Permit File
• Doc Date: 11/27/2019
• Doc Name Note: Exhibit S - Permanent Man-Made Structures
• Doc Name: Application
• From: Colorado Sand Company LLC
• To: DRMS
• Email Name: MAC
• Email Name: BFB
• Media Type: D
• Archive: No

S-27
NOTARY FOR STRUCTURE OWNER
ACKNOVVLEGEDBY:
Structure Owner
Representative Name
Date Title
STATE OF
so.
COUNTY OF
.'
The foregoing was acknowledged before methis. day of 2018. by
- .asp of /.i..
\ My Commission Expires:
Notary Public ' '