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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, Affi}ant sayetth not <br /> R Tom, <br /> A ffiant zt <br /> gnature <br /> Notarized Affidavit of Si nature <br /> STATE OF: 'ILPL ) <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this day of by <br /> (date) (month (year) <br /> as <br /> (Name of permittee representative) (title)KE ��Ifa/51—of -- k N(/} <br /> ' W 1 �' <br /> &MELL WMR-JENSEN (permittee) <br /> State Of Utah -- <br /> py Cornrniseion Expires 11-26.2Q19 "� <br /> COMMOMNO.MW AR PUBLIC <br /> c <br /> (seal) <br /> My Commission expires: <br /> Page 5 of 6 <br />