2023-02-13_REVISION - M1998038

• Permit No: M1998038
• IBM Index Class Name: Revision
• Doc Date: 2/13/2023
• Doc Name: Request For Succession Of Operator
• From: Fremont Paving and Redi Mix
• To: DRMS
• Type & Sequence: SO1
• Email Name: ANM
• Email Name: JLE
• Email Name: AWA
• Email Name: SMS
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner Name
Date ( 1,2-S Title
STATE OF LIDMA&I )
ss.
COUNTY OF—PA14t, )
The foregoi� Xkj !j
as acknowledged before me this S day of y�Vu' , 20.11 by
` as. A1 AJ OWN,',N,', of F01 A
1A My Commission Expires:
of ublic
JODI D SCHREIBER
NOTARY pUBUC
STATE OIL COLORADO
NOTARY ID 20064001792
Hy COMMISS'ON,.XPIRES OCTOBER 6,2026