2021-07-16_PERMIT FILE - M2021048

• Permit No: M2021048
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/16/2021
• Doc Name: Application
• From: Zak Dirt, Inc.
• To: DRMS
• Email Name: ERR
• Email Name: JDM
• Email Name: JXT
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name
Date Title
STATE OF )
) ss.
COUNTY OF )
The foregoing was acknowledged before me this day of , 20 , by
as of
My Commission Expires:
Notary Public