2022-03-16_REVISION - M2008078

• Permit No: M2008078
• IBM Index Class Name: Revision
• Doc Date: 3/16/2022
• Doc Name: Returned Mail
• From: DRMS
• To: Karl Nyquist - Prowers Aggregate Operators, LLC
• Type & Sequence: SO4
• Email Name: AME
• Email Name: MAC
• Email Name: SMS
• 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