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2005-02-04_PERMIT FILE - M2005003
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2005-02-04_PERMIT FILE - M2005003
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Last modified
5/27/2020 9:57:44 AM
Creation date
11/25/2007 5:06:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005003
IBM Index Class Name
Permit File
Doc Date
2/4/2005
Doc Name
112c New Appl
From
Van Valkenburg Cattle Company LLC
To
DMG
Media Type
D
Archive
No
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.~. `; <br />DOH Form No. 790 <br />STATE DEPARTMENT OF HIGHWAYS <br />DIVISION OF HIGHWAYS <br />STATE OF COLORADO <br />(Signatu <br />Robert G. Lucas <br />Type Name <br />Materials Source Specialist _ <br />Title <br />•-r* <br />Mortgagee <br />sy _ <br />' (Signature) <br />(Type Name) <br />(Address) <br />+rr~r <br />STATE OF COLORADO ) <br />)ss. <br />County, of [w ~`a. ) <br />The foregoing instrument was acknowledged <br />before .m~tta3s,, . cv day of ,~,~ ~Q y_y_ __, <br />19~y `~x ~ . `'Rs ~A~ Ci . [, ,, c ar ,Ta-nd <br />cfticial seal. <br />BOOK 1..~ PAGE ~1 <br />PIT IDENTIFICATION <br />41m. J. VanValkenburg <br />OWNER(S) <br />(Signature) <br />. ha~•rrence E. _Easthouse <br />(Type Name) <br />By <br />(Signature) <br />(Type Name) <br />*:. <br />STATE OF COLORADO ) <br />.ss. <br />County of ~ty-im~'t ) <br />The foregoing instrument was acknowledged <br />before me this ~_-day of JJr r , <br />- 19~ by - and <br />and <br />Witness my hand"and official seal. <br />My ~ort~il§,511~Ycp~.' ~ , 19 <br />My_Comrmsso3a',LFakues:~Marc ~ 25~19a ~~ a~ <br />T Notary Public <br />DISTRIBUTION: <br />Original - Dist. Matls. Engr. (For Recording) <br />1 - Each Owner <br />1 - Distr ict Engineer <br />1 - Design Engineer <br />2 - Dist. Const. Engr. <br />1 - Dist. Maint. Engr. (Maint. Pits) <br />1 - Each Holder of Mortgage Deed <br />My commission expires <br />.~~'y.,i,Ol~ <br />~• ~'~ ~ 119-~ ,:~':- <br />~s.~L'~, J t+ <br />Jf. <br />19~ <br />Pane 2 of 2 <br />
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