2021-11-23_REVISION - M2010054

• Permit No: M2010054
• IBM Index Class Name: Revision
• Doc Date: 11/23/2021
• Doc Name: Request For Succession Of Operator
• From: Southway Construction Co., Inc
• To: DRMS
• Type & Sequence: SO1
• Email Name: JPL
• Email Name: JLE
• Email Name: SMS
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name 5e!!4 o Tw Y
Date /g/�� ,Z-y,;Z Title 1;y.>i r, o f
STATE OF.`
ss.
COUNTY OF
The foregoing was acknowledged before me thisQ ' aay of QCN A,e,_ ,20Q� ,by
4s of
a�/e c a- \%. ( (�E' &6,,vL My Commission Expires: I I a C) 14
Notary Public
PATRKIA F.ALLAART
NOTARY PU9UC
STATE OF COLORADO
NOTARY ID 20164018504
My Commission Expires 05-13-2024