2016-08-23_GENERAL DOCUMENTS - M1981185

• Permit No: M1981185
• IBM Index Class Name: GENERAL DOCUMENTS
• Doc Date: 8/23/2016
• Doc Name: Agreement to Conduct Permitting by Electronic Means
• From: Wildcat Mining Corp.
• To: DRMS
• Email Name: DMC
• Media Type: D
• Archive: No

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Agreement to Conduct Permitting by Electronic Ifeans
AUG 22
Name of permittee representative desiring to
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Name of permittee:
Title:
Signature:
Email Address for ePermit Account:
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Notarized Affidavit of Signature
STATE OF: )
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COUNTY or: ) SS.
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The foregoing instrument' as acknowledged
before me this day of by
(date) (year)
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(Narnekakpermittee representative) (title)
of
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(permittee)
LEAH NICHOLE EWALD
NOTARY PUBLIC
STATE OF COLORADO
MY COMMISSION EXP RES NOVEMNOTARY ID BER 14,2017 OTARY PUBLIC
(seal)
My Commission expires:
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