2021-06-30_PERMIT FILE - M2021044

• Permit No: M2021044
• IBM Index Class Name: Permit File
• Doc Date: 6/30/2021
• Doc Name: Application
• From: Fremont Paving & Redi-Mix
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner �Ze y�j S �, (_� Name0, __e�Date S 1 LS), a-/ Title
STATE OF p )
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COUNTY OF )
The foregoing was acknowledged before me this F7 day of , 20 Zq, by
�LtYiN.iJ f)l,�c as (nay of
MCommission Expires:y �-
N Public
JODI D SCHREIBER
NOTARY PUBLIC
STATE OF COLORADC
NOTARY ID 20064001792
MY COMMISSION EXPIRES OCTOBER 6.2022