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2023-01-09_REVISION - M2021052 (32)
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2023-01-09_REVISION - M2021052 (32)
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Entry Properties
Last modified
1/13/2023 7:14:00 AM
Creation date
1/11/2023 2:34:28 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2021052
IBM Index Class Name
Revision
Doc Date
1/9/2023
Doc Name Note
Attachment B
Doc Name
Adequacy Response - Attachment B
From
IHC Scott
To
DRMS
Type & Sequence
AM1
Email Name
CCW
ACY
THM
Media Type
D
Archive
No
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■III N?j IV rill W 11AIMU KI hG 5 4rU 11111 <br /> Reception#: 937552 <br /> 06/2912020 02:06.39 PM Jean Al. 0 GARFIELD COUNTY CO <br /> 1 of 1 Rec Fee $13 00 Doc Fee 000 GA <br /> • GENERAL FORMS <br /> SECTION 1-01. STATEMENT OF AUTHORITY <br /> Pursuant t C.R.S. §3 -30-172, the undersigned execute this Statement of Authority on behalf of <br /> �GcsZ K _J a�e ev �fij�(corporation,limited <br /> liability company,genet partnership,registered limited liab�nership,registered limited liability <br /> limited partnership,limited partnership association,government agency,trust or other),an entity other <br /> than an individual,capable of holding title to real property(the"Entity"),and stales as FUIIUWs. <br /> The name of the Entity is J�cST `1 0�`�a��f,W, a'Ac <br /> and is formed under the laws of C19 <br /> The mailing address for th Entity is <br /> The name and/or position of the person authorized to execute instruments conveying,encumbering,or <br /> otherwise a cCg title ea l pr perty on behalf of the Entity is <br /> �,?r` <br /> The limitations upon the authority of the person named above or hol iW the position described above <br /> to bind the Entity are as follows(if no limitations,insert"None"): - <br /> Other matters concerning the manner in which the Entity deals with any interest in real property are(if <br /> no other matter,leave this section blank): <br /> EXECUTED this ill If;-day of Alrxm 20 7p <br /> Signature: 4�// <br /> Name(printed): CXrZ, <br /> Title(if any): <br /> STATE OF <br /> )SS. <br /> COUNTY OF ) <br /> The forging instru ent as acknowledged before me this day <br /> by vt Y` on behalf of lefli <br /> a o <br /> Witness my hand and official seal. <br /> My commission expires:1Qvi, ; )9d — <br /> FL (Notary Public) <br /> MITZI REECENOTARY PUBLIC <br /> TATE OF COLORADO <br /> OTARY ID 20184011940 <br /> SSION EXPIRES MARCH 15,2022 <br />
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