2021-06-04_PERMIT FILE - M2021018

• Permit No: M2021018
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/4/2021
• Doc Name: Adequacy Review Response
• From: Ed Lyons
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY: x�,
Structure Owner C D� Name W 1UU2
Date �1 ��071 Title �MT— R 7 -( t'a& M c(& Q-cA----
STATE OF
) ss.
COUNTY OF )
The foregoing was acknowledged before me this day of /!� ,20 1,by
�L as t���m��S � of CL1Dl— �.Z
z�lr My Commission Expires: .2 zz
Notary Public
BOBBI BURNER
Notary Public
State of Colorado
Notary ID#20044043081
My Commission Expires 02-23-2022