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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 /> Patti L . C%Iar.L / <br /> Affiant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Ct-110 <br /> COUNTY OF: • ) ss. <br /> \A(-r1CL <br /> The foregoing instrument was acknowledged <br /> before me this �4 ' day of r i , Flo i je by <br /> (date) (month) (year) <br /> as <br /> (Name of permittee representative) (title) <br /> of r, , <br /> (moi i o 61(0,-ra Ji 1 vex., c . <br /> (permittee) <br /> 4 ANN C. ROBISON • <br /> Notary Public � a <br /> State of lactic � Lrl C 7 C7�JL ✓ <br /> NOTARY PUBLIC <br /> (seal) <br /> My Commission expires: <br /> 10/ / c), <br /> Page 5 of 6 <br />