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Acknowledged by: ,/X, u <br />Applicant: Montezuma County Road Department Representative Name <br />Date: q / 9114c aTitle of Representative Chair, Board of County Comn <br />County, Colorado <br />STATE OF South Dakota } <br />)ss. <br />COUNTY OF Pennington ) <br />The foregoing was acknowledged before me this <br />!---d of ; 2013, by Steve D Choppel as <br />My Commission Expires: <br />otary Public <br />,NOTARY FOR O NE � <br />Acknowledged by: <br />Owner: McClellan, McClellan, and Nelsen Representativ?'Narn,6 Casey McClellan <br />Date: , GS-EL 2D L3 Title of Representative Owner /manager of the <br />property owned by McClellan, McClellan, and Nelsen Properties <br />STATE OF South Dakota ) <br />)ss. <br />COUNTY OF Pennington ) <br />The foregoing was acknowledged before me this 3' day of SEP , 2013, by Casey <br />McClellan as owner and manager of the property owned by McClellan, McClellan, and <br />Nelsen Properties. <br />My Commission Expires: 12 DEC 2014 <br />Nathan A. Barton, Notary Public <br />t4 NATHAN A. SAMN <br />NOTARY PUBLIC <br />`4 State of nth Dakota IK-; <br />*Structure Agreement, Page 2 of 2 pages, MCRD -McMcN <br />