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•Agreement to Conduct Permitting by Electronic Means <br /> Name of permittee representative desiring to <br /> opt in to ePermit: <br /> Title: <br /> Name of permittee: Sl ver Mines Inc <br /> Signature: <br /> ePermitting Administrator(if different from <br /> representative signing agreement) <br /> Email Address for ePermit Account: <br /> en vironm�nfal C"'oua'a�s;l✓erm�h�s'•c'am <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> COUNTY OF: ) ss. <br /> The foregoing instrument was acknowledged <br /> before me this IS day of `bru" 2-0-1 by <br /> (date) (month) (year) <br /> as <br /> (Name of permittee representative) (title) (� <br /> of <br /> (permittee) <br /> KOREE SCHMIDT <br /> AR <br /> STA E Of COOTARY LORADO <br /> N)X <br /> NOTARY IO 20074028205 OTARY PUBLIC <br /> MY MMI ION EXPIRE <br /> (seal) <br /> My Commission expires: <br /> � 1a312o� � <br /> Page 3 of 6 <br />