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The Applicant, Morgan Sand and Gravel, Inc. by Greg Westho算as President ofMorgan <br />Sand and Gravel, Inc, does herby certify that Greg Westhoff (StruCture OWner) sha11 be <br />COmPenSated for any damage from the proposed mining operation to the above listed <br />StruCtureS(S) located on or within 200 feet ofthe proposed aifected area described within <br />Exhibit A, Of the reclanation Pemit Application for the Westhoff Pit, File Nunber <br />M1 977-094. <br />T協s.旬rm has been (卿rOVed旬’/he Cbめrado Mined Land Reclamation Board <br />p〃rS〃ant /O ds鋤脇or砂z/nder !he Cbhrado Land Reclamaiion 4ctjbr Jhe E疑raction <br />Qr Cbnstr〃Ction M扇erial§ and Jhe Cblorado M綴ed Land Rechmation Actjbr Hard <br />Rock, M〆a4 and De暗naied胸巌g q,eraJions. 41少a〃eration or mo仇伽a/ion Jo <br />脇おjbm Sha〃 res〃h jn void巌g !hおjbrm. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEDGED BY: <br />Appli cant Representative Name <br />ク協破堤_∴∴∴加植硝誹砂≦妬め在を遠視ク老生 <br />Date a_禽斧一ダフ　　　　　　　　　Title <br />sTAⅢOF β010欺do ) <br />鉦‡鞄ngWaSaC謂競誓eme:諾意等 　　α)∴　　　　　しノ <br />了　∠湯川　　　　　M,。。mmissi。nExir。S: <br />_　○○　_　_」_　▲　一　一一　一二　一-　臆▲」きしノ NOTARYSTRUCTUREOWNER <br />I看臆臆臆臆園醒図割附開園臆臆臆臆 <br />Nota「yPub lic <br />Stateo(CoIo「ado <br />NotarylD19944015206 MyCommis§ionExpi'eSOct28,2018 <br />Applicant磨俊幸を混=ヂ妙,〆　　Representative Nane <br />鮪多頭之.∠多励レ三㍍娩船重み額勘考L <br />Date成一Zg努L/つ　　,∠C⊃旭イケア4○22_　　　Title <br />STATE OF