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Agreement to Conduct Permitting by Electronic Means <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br /> (30) days in the event that his/her authorization to execute ePermitting Documents <br /> on the Company's behalf is terminated. <br /> Further, Affiant sayeth not. <br /> �Q t_t_I L . C k1d l' <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: . ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this ' day of A-p r i , D-01/49 by <br /> (date) (month) (year) <br /> � _� � " as <br /> Rat I 1, C IC�a_e. }� Cc�r� ��h v rob r I-) I cut 17t�fel fiZr- <br /> (Name of permittee representative) (title) <br /> of <br /> (permittee) <br /> ANN C. ROBISON <br /> Notary Public � <br /> State of idahc � -r? -'CJ C <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> I 0/ p01 3/ <br /> Page 5 of 6 <br />