GENERAL38163

• Permit No: M2001017
• IBM Index Class Name: General Documents
• Doc Date: 3/14/2002
• Doc Name: Permenent Man-Made Structure Agreeements ‎(Exhibit S)‎
• From: L.G. Everist Inc.
• To: DMG
• Permit Index Doc Type: General Correspondence
• Media Type: D
• Archive: No

AGREED:
By the Applic t:
L. G. EV IS C ~
Signature of a fflrrJ...G. Everist, Inc.
Name and'fitle (please print)
State of Colorado )
ss
County of ~~ )
Date~j~ y~
The foregoing instrument was acknowledged before me on this L/ day
by the signatory Representative above.
Witness my hand and official seal,
Notary Public. ~ .~ C ~1 )11~~Y/ W~ My
By the Structure Owner:
WELD COUNTy~ DEPARTMENT OF PUBLIC WORKS
Owner
~Y Comm.
2001,
i,ac~.
}, ~
08/27/2001
Date
M. J. Geile, Chair, Weld County Board of Commi cci nn rc
Name and Title (please print)
State of Colorado )
ss
County of Weld )
The foregoing instrument was acknowledged before me on this 27th day of August , 2001,
by the signatory Representative above. _
Witness my hand and official seal,
Notary Public:
P ~®
2r `„} :.
My d~3hhfs~iSn expir~
:~ GEStCK
~~~OF rotine-Pp:
Ay!'aadrrsxion ExFves SearemLrr : ,. _.:a r
~~i~ /( ~/
LM/LOH-200ft-weldco-0843D0 -via Certified Mail 11 7000 0520 00]9 06'18 8G30