Laserfiche WebLink
r -5` <br /> 4. I understand that statements in the application are being made under penalty <br /> of perjury and that false statements made herein are punishable as a Class I <br /> misdemeanor pursuant to Section 18-8-503, C.R.S. <br /> � rd <br /> Signed and dated this 3 _ daa of flIFR« L `72 <br /> r, L <br /> Applicant/Operator If Corporation Attest (Seal ) <br /> By: R�Ci1�d ram. �Ve�' L£n) By: <br /> Title: Corporate Secretary or Equivalent <br /> Town/City/County Clerk <br /> State of 0 A01 ) <br /> ss . <br /> County of 6w-. c.r: ) <br /> The foregoing instrument was acknowledged before me this 3.4 day of APf <br /> by711G4,Ae,6 F i�1CI<ceAI as-?'R£5 -@ucvLt:e) ��, mF,•�of <br /> Notary Public <br /> My Commission Expires: f <br /> (08/91 ) 2823F <br />