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2025-09-02_REVISION - M2011017 (4)
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2025-09-02_REVISION - M2011017 (4)
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Entry Properties
Last modified
9/3/2025 10:08:00 AM
Creation date
9/3/2025 9:43:36 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2011017
IBM Index Class Name
Revision
Doc Date
9/2/2025
Doc Name
Request For Conversion
From
CRC Inc
To
DRMS
Type & Sequence
CN1
Email Name
BFB
ZTT
Media Type
D
Archive
No
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NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEGED BY: <br /> 4L1-f <br /> Structure Owner J Q l t a— -er (,° v-c le 461010,1 Name 4 ;3 rue.e 3'0)iyi S co Yl <br /> Date \T'cLt y' 2 8/ 2 6) 2- 5- Title Q'e )-Q1-0 I 2 v4vver ,,-Epr-ts.c)A-4-ct-i-i'!/-e--- <br /> STATE OF CO-tjo 9- ) a _) , <br /> ss. <br /> COUNTY OF <br /> The foregoing was acknowledged before me this c 1 day of i , 20 ,by <br /> as(-7.p�n pain� R4 of -3- al Y(J-e I.O N r L L P <br /> 2e19A /0 p_24), - My Commission Expires: Q/ 43 /-"-4 <br /> Notary Public <br /> `4 DEENA JO COZZENS , <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> 0 NOTARY ID 20244003079 <br /> IVY COMMISSION EXPIRES 01/2312028 <br />
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