2023-04-26_PERMIT FILE - M2023014 ‎(3)‎

• Permit No: M2023014
• IBM Index Class Name: Permit File
• Doc Date: 4/26/2023
• Doc Name: Application
• From: Cheyenne County
• To: DRMS
• Email Name: NCG
• Email Name: AME
• Email Name: AWA
• Media Type: D
• Archive: No

NOTARY FOR STRUCTURE OWNER
ACKNOWLEGED BY:
Structure Owner • 6 ���� U64- Name
Date "t " I q Z 3 Title
STATE OF 00 Drado )
ss.
COUNTY OF )
The f egoing was acknowledged before me this/ ofA , 2023_, by
l j 76�,,f, as L.Cc Ot�LtP�'' of I r0 r"f
My Commission Expires: 7 ? 2
Notary ubl'
..�. .
Pa9ty J Hevner
FNOTARY
NOTARY PUBLIC
ATE OF COLORADO
ID 20134072434
ON EXPIRES NOVEMBER 21,2025