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8y the Structure Owner <br />cn S~ aa~- <br />Structure er Signature <br />TA/~ <br />"1 ~Z 4-~0~ <br />Date <br />State of Colorado ) <br />ss <br />County of ilZttiza <br />foregoing instrument was ackn wledged before me thi~~ day of <br />2003 by as <br />~~P~^j p~ <br />. ~~/..0./1'~'s~ D <br />My Commission expires: /~?-~~D -4- <br />2 <br />