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-5- <br /> 4. I understand that statements in the application are being made under penalty <br /> of perjury and that false statements made herein are punishable as a Class 1 <br /> misdemeanor pursuant to Section 18-8-503, C.R.S. <br /> Signed and dated this 2. day of I i . <br /> Applicant/Operator If Corporation Attest- G5411)-17 <br /> -- <br /> 8y /0,4 E10 By: <br /> Title. C porate ecretary or Equivalent <br /> Town/City/County Clerk <br /> State of ea 049:po ) <br /> ) 5S. <br /> County of <br /> The foregoing instrument was acknowledged before me thi �;�day of <br /> by 11' AW7lNI,). k2o—;YCS as 1/PE 6�Y �l4_ of W6;97 'V / C,e r . <br /> 1 <br /> a <br /> rN ary Public <br /> 1 My Commission Expires: <br /> 2823E (02/05/93) <br />