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Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring ton <br /> opt in to ePermit: Rcrciy ' ' f` C 11.0 r c. <br /> Name of permittee: R�.0 C7(sa - Sof ve r � LnC, <br /> Title: COO nkitCth l <br /> Signature: /rVy1C2 `l , _ `� --T►t- <br /> 10 <br /> Email Address for ePermit Account: - �d <br /> rmc:chkre�o� he��� -nri n+nc' , COW\ <br /> C � <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Co l orco <br /> COUNTY OF: ) ss. <br /> �(�A-% kireArCA1 <br /> The foregoing instrument was acknowledged ,yy <br /> before me this day of lar ZCG/6 by <br /> (date) / (year) <br /> RPA Mc Clk as IA5' (-4- 41 <br /> (Name of permittee representative) (title) <br /> of <br /> �►a GrG�e. SLL Qr , �r1�T . <br /> (permittee) <br /> CECILIA M. MCNEEL <br /> NOTARYC <br /> u8A itad <br /> STATE COLORADO <br /> NOTARY ID 20154016485 <br /> MY COMMISSION EXPIRES APRIL 27,2019 NOTARY P <br /> OF6,4LIC <br /> (seal) <br /> My Commission expires: <br /> IQ <br /> Page 3 of 4 <br />