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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Structure Owner Name <br /> Date Title <br /> STATE OF 1 <br /> sS. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this day of ,20 , by <br /> as of <br /> My Commission Expires: <br /> Notary Public <br /> U.S. Postal Service" <br /> RECEIPTCERTIFIED MAILP <br /> ra Domestic Mail Only <br /> r <br /> ni <br /> Ln m Certified Mail Fee 75 773 <br /> CD $ { <br /> r-1 Extra Services&Fees(check box,add hw�ro pp ate) <br /> ❑Return Receipt(hardcopY) $ <br /> rU ❑Returm Receipt(electronic) $ I_I•`_II_f Postmark <br /> E ❑Certified Mail Restricted Delivery $ Sri_I"I(t <br /> Here <br /> O ❑Adult Signature Required $ $ <br /> O.na„e sia., — <br /> C3 Postage <br /> Ln $ <br /> -I- <br /> .� Total Postage ar 0 18/2 t 2 <br /> o seritro Mountain View Electric Association <br /> ru o s aat ,d f-x 11140 E. Woodmen Road <br /> r- Falcon, CO 80831 <br /> Cirye,Z StatiP+7 <br />