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 RIctM4-e',VR.f Pouifir Au}Int;tcy Name
Date a ' � ' �— Title G {a )
STATE OF Co\orczc$o
COUNTY OF Las mkt'
The foregoing was acknowledged before me this 23 day of „e , 20 12., by n
6r►ain } I . Moo k” as G O.� 10. as Ml(1(Ld1Qai.r of In4-F R►t/L( -i o..t cy Au.44- c t -i
Notary Public
My Comm. Expires
December 19, 2014
NOTARY FOR STRUCTURE OWNER
) ss.
My Commission Expires: Uj Co mbp r I q i 204