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ii 1 ggo�025 <br />CERTIFICATION OF OPERATOR (PERMIT APPLICANT) <br />Therefore, the Operator (Applicant) Montezuma County, by Steve D. Chappell, as Chair, <br />Board of County Commissioners of Montezuma County, Colorado, does hereby certify that the <br />Landower shall be compensated for any damage from the proposed mining operation to the <br />above listed structure(s) located on or within 200 feet of the affected area described above. <br />r <br />G� <br />Signed: <br />NOTARY FOR OPERATOR (PERMIT APPLICANT) <br />Acknowledged by: <br />Applicant: Montezuma County Representative Name Steve D Chappell <br />Date: 01-3 Title of Representative Chair, Board of County Commissioners of Montezuma <br />County. Colorado <br />STATE OF Colorado ) <br />)ss. <br />COUNTY OF Montezuma ) '�tI <br />The foregoing was acknowledged before me this day of <br />Ufta� My Commission Expires: <br />Notary Public <br />t 2013, by Steve D Chapoel as <br />x�Colorado. <br />ao{' 014 NN6 <br />/fit r l I II%1lU \\ <br />*Structure and Right to Enter Agreernent, Page 2 of 3 pages, MCRD -LMN <br />