2022-08-19_PERMIT FILE - M2022037

• Permit No: M2022037
• IBM Index Class Name: Permit File
• Doc Date: 8/19/2022
• Doc Name: Application
• From: Lincoln County
• To: DRMS
• Email Name: RAR
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWrVE�R,-r`'—` ,
ACKNOWLEGED BY:
Structure Owner - Gz r� a-���r TV V StName 2) c-T e ( 01
Date 7 —,:z Title C2 u--p P1 C {�
STATE OF (.'0 0 q 1'O
) ss.
COUNTY OF/O-ILQ& )
The foregoin wa a knowledged before me this q day of, , 20 by
,k as G(.c,./j N of
` My Commission Expires:
blic
Joy.:e M Hart
NOTA Y PUBLIC
STATE OF COLORADO
NOTARY ID 20084037975
W COMMISSION EXPIRES October 31,2024