Laserfiche WebLink
-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 1 <br /> misdemeanor pursuant to Section 18-8-503, C.R.S. <br /> Signed and dated this day of <br /> 101, <br /> Applicant/Operator If rpo ation A t t ) <br /> 6y: Constance L<_)iarbert 8y: <br /> Title: Commissioner Coordinator C rporate Secretary or Equivalent <br /> Town/City/County Clerk <br /> State of Colorado ) <br /> ss. <br /> County Of Weld ) <br /> The foregoing instrument was acknowledged before me this 26 day of January 1993 <br /> by Constance L. Harbert as Commissioner Coordinaror Of Weld County <br /> Notlry Public <br /> My Commission Expires: 2/9/94 <br /> (04/92) 2823F <br /> ORIGINAL <br />