2021-12-29_PERMIT FILE - M2021009 ‎(43)‎

• Permit No: M2021009
• IBM Index Class Name: Permit File
• Doc Date: 12/29/2021
• Doc Name Note: Exhibit S - Permanent Man-Made Structures
• Doc Name: Adequacy Review Response
• From: Lewicki & Associates/Young Ranch Resource, LLC
• To: DRMS
• Email Name: AME
• Email Name: MAC
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER WITHIN 200 FT OF YOUNG RANCH
RESOURCE QUARRY AFFECTED AREA
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