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2022-06-28_REVISION - M1985105 (2)
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2022-06-28_REVISION - M1985105 (2)
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Entry Properties
Last modified
12/28/2024 8:59:00 PM
Creation date
6/29/2022 8:07:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985105
IBM Index Class Name
Revision
Doc Date
6/28/2022
Doc Name
Request For Conversion
From
Lincoln County
To
DRMS
Type & Sequence
CN1
Email Name
RAR
JLE
AWA
KME
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Structure Owner Name' "7,t✓ C% �-L� <br /> Date Title <br /> STATE OF ) <br /> ss. <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me thisya day of , 20' h3L <br /> t�bpo r, 4U4 as i _ of � (�,Jn ; <br /> My Commission Expires: W 'L9 N '2-0 24 <br /> Notary Public <br /> FORTUNATO GALAVIZ <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20184019275 <br /> MY COMMISSION EXPIRES MAY 4, 2026 <br />
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