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Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to / <br /> opt in to ePermit: Kandy 1`C I i r <br /> Name of permittee: R'0 Grande Liver� LING <br /> Title: COr Siki+Cty 1 <br /> Signature: <br /> /c.f., <br /> J <br /> Email Address for ePermit Account: // <br /> rm(riu.re heck.—Minlin9 I COw\ <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> CO OrOJO <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this day ofitar 2-016 by <br /> (date) (year) <br /> RPAC)/ MCC-114r( as VZ LA-( <br /> ►'1 <br /> (Name of permittee representative) (title) <br /> of <br /> R Grbryie 5LIU21 , I . <br /> (permittee) <br /> CECILIA M. MCNEEL <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20154016485 <br /> MY COMMISSION EXPIRES APRIL 27,2019 NOTARY P LIC <br /> (seal) <br /> My Commission expires: <br /> - i cf <br /> Page 3 of 4 <br />