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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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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Structure Owner--Colorado Department of Transportation Name <br /> --- --- ------------ <br /> Date ��-C A 26Z® Title � h�Y r ��I� '� <br /> STATE OF Co��o._4�,O__ ) <br /> ss. <br /> COUNTY OF +C4- ) <br /> The foregoing was acknowledged before me this day of ,20,0, by <br /> Sk fhgn lsan ---- as tE%e c_.�_�1.t1�Gf'_ ofCmloca-po <br /> Zc <br /> My Commission Expires_�` cry a Oo;o Pu <br /> jwqu%T Fawn <br /> r <br /> BTATE OF MORADO <br /> NOTARY 10 20184018331 <br /> M CO� <br /> RS 1 <br />
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