2020-05-01_REVISION - M1982015

• Permit No: M1982015
• IBM Index Class Name: REVISION
• Doc Date: 5/1/2020
• Doc Name: Request For Succession Of Operator
• From: Carma Bayshore LLC‎(Bayshore LLC)‎
• To: DRMS
• Type & Sequence: SO3
• Email Name: PSH
• Email Name: JLE
• Email Name: GXB
• Email Name: AWA
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY: (, _
Structure Ownerc�A�re/ (J..IJ s�Representative Name J/ r
Date 1043 & Title Alisjvi� {rlctnQf'c�
S
STATE OF N&W—A
)
ss.
COUNTY OF )
The foregoing was acknowledged before me this 13 day of 2016,
by ►)KM as hisf t ana44r of I .
Notary Public rr�� ��,,
ROXANNE GARCIA My Commission Expires: � ',2 `2-DI7
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 19974001261
MY COMMISSION EXPIRES MAY 2,2017