2022-02-28_PERMIT FILE - M2022003

• Permit No: M2022003
• IBM Index Class Name: Permit File
• Doc Date: 2/28/2022
• Doc Name: Adequacy Review Response
• From: CRCC
• To: DRMS
• Email Name: RAR
• Email Name: JLE
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner CDOT Name
GGGt ra dnn
Date 2 - Ifs- 22 Title CbpT
STATE OF I _)
)ss.
COUNTY OF 'de-I )
The foregoing was acknowledged before me this day of , 208g, by
1 , Y NVIn�ka as�' f--�9d o n�r of
My Commission Expires:
4otary Public
E
E JO HARWN
-STATE Of COLORADO
ID 20214016599
WIRES ADR 27,2025
l /L # OL06-9££ 6lL Wdti£ £0'ZZ-B�-ZO