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2022-08-31_REVISION - M1979010
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2022-08-31_REVISION - M1979010
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Last modified
8/31/2022 8:38:47 PM
Creation date
8/31/2022 9:35:48 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M1979010
IBM Index Class Name
Revision
Doc Date
8/31/2022
Doc Name
Adequacy Review Response
From
ACA Products
To
DRMS
Email Name
LJW
THM
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br />ACKNOWLEGED BY: <br />r <br />Structure Owner !1 JQ G Name <br />Date 31-" 1-3 Title <br />STATE OF ) <br />COUNTY OF ) ss. <br />f � ) <br />T4 fore oing was acknowledged before me this day of �Z« 1S _, 20 by <br />WY as (� � of )' ✓, <br />My Commission Ex ires: <br />Notary Pu c <br />TRACY LEE LINZA <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20044029958 <br />MY COMMISSION EXPIRES AUGUST 23, 2024 <br />
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