2012-09-24_PERMIT FILE - M2011049

• Permit No: M2011049
• IBM Index Class Name: PERMIT FILE
• Doc Date: 9/24/2012
• Doc Name: Information for City of Greeley, Structure Agreements.
• From: Blue Earth
• To: DRMS
• Email Name: ECS
• Media Type: D
• Archive: No

ACKNOWLEGED BY:
Structure Owner L ",°l y Dort &/ j'�►, s � (j i3Y; Name
Date 7/2
STATE OF &O JO dp )
COUNTY OFA_Ka. -; )
The foregoing was acknowledged before m this2 day of 'LL/ , 20 /Z, by
�I � �� �•
rem, as De ZrZ °r elo n y of n tzDr C'o /1i
Notary Publi
NOTARY FOR STRUCTURE OWNER
ss.
Title 2 r - a, ,
My Commission Expires: 2/ - L? I if