Laserfiche WebLink
_ 1 <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 1 <br /> misdemeanor pursuant to Section 18-8-503, C.R.S. <br /> 'Signe and dated this Jay of <br /> v <br /> �Appli a t/0 erator If CorDaration Attest (Seal ) <br /> By: �G�Lacw� <br /> By: <br /> 'Title: 1,4 x2 Co por a Secretary or Equivalent' <br /> own/City/County Clerk <br /> ,State of ) <br /> > ss. <br /> 'County of � �LA�Orro <br /> The foregoing instrument was acknowledged before me this adday of Qom, <br /> ,by (' In n 11 ct..-,r\-a, as PAL A rl�J,7 of V(XA Jk �m. • ��.. <br /> Notary Public <br /> _ --------- My Commission Expires: L� /ALI <br /> '(02/92) 2823F <br /> 7r <br />