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2024-10-16_REVISION - M2006054
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2024-10-16_REVISION - M2006054
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Entry Properties
Last modified
10/16/2024 9:56:18 AM
Creation date
10/16/2024 9:45:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006054
IBM Index Class Name
Revision
Doc Date
10/16/2024
Doc Name Note
Fee Enclosed
Doc Name
Incompleteness Response
From
Mid-States Materials
To
DRMS
Type & Sequence
SO3
Email Name
UEA
AME
SMS
EL1
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> Jc <br /> Structure Owner A-rea c2 (WC,Name ' r G5-�v+' <br /> Date 1JJ 93,Ja a")44 Title <br /> STATE OF (��1�fc�c � ) <br /> ) ss. <br /> COUNTY OF� (lisp ) <br /> The foregoing was acknowledged before me this J3 day of, •em'j -, 20'by <br /> tfrt.kiLa-ik 44z158akiL. as (VL;-; *Y" of Y- 1s N S <br /> My Commission Expires: M 1d i r6 <br /> Notary Public <br /> SHAUNA WHITMAN <br /> NOTARY PUBUC <br /> STATE OF COLORADO <br /> NOTARY ID 20064029026 <br /> My Commission Expires March 22,2028 <br />
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