2020-08-28_PERMIT FILE - M1978080

• Permit No: M1978080
• IBM Index Class Name: Permit File
• Doc Date: 8/28/2020
• Doc Name: Structure Agreement
• From: Lincoln County
• To: DRMS
• Email Name: DC1
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWN ER
ACKNOWLEGED BY:
Structure Owner'tom1�, ',, �, Name ��
Date Y-,2 U Title
r
STATE OF ( I b",c )
COUNTY OFI ` ss.
)
The foregoing was acknowledged before me this day of , I , 20, d by
-as of
r ,
My Commission Expires:
Notary N15116
CHRISTINE HOLLENBAUGH
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20184017122
MY COMMISSION EXPIRES APRIL 19,2022