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Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to <br /> opt in to ePermit: Ra.rdy <br /> /'Il C C I l.0 r tz <br /> Name of permittee: R f7 rCnde SJ ve r' Lnc, <br /> Title: C v v15 u.J+"G.ri" <br /> Signature: /rACJ1 f,(C(' /, l,,, 7-1- _ <br /> Email Address for ePermit Account: ` -"`''°''C ►►'110 <br /> rmC.',)Lye.q necict-nr I hih9 f CO <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> CO)arc,-SO <br /> COUNTY OF: 1"`p ) ss. <br /> The foregoing instrument was acknowledged <br /> before me thisday ofillar ZU/6 by <br /> r (date) (year) <br /> 1Rcv' c)1 ► v ICI k re_ as CMS 441►'1f <br /> (Name of permittee representative) (title) <br /> of In <br /> ►6 Grc,v 5Lluer , Tnc <br /> (permittee) <br /> CECILIA M. MCNEEL <br /> NOTARYOF <br /> STATE OF COLORADO 11,VaI) <br /> NOTARY ID 20154016485 <br /> MY COMMISSION EXPIRES APRIL 27,2019 NOTARY P LIC <br /> (seal) <br /> My Commission expires: <br /> t7`'1- O7 - !cf <br /> Page 3 of 4 <br />