Laserfiche WebLink
• <br /> This form has been approved by the Colorado Mined Land Reclamation Aoard pursuant to its <br /> authority under the Colorado Land Reclamation Act Dor the Extraction of Construction Materials <br /> and the Colorado mooed Land Reclamation Act for Hard Rock,Metes,and Designated MMhs <br /> Operations. Any alteruatiorr or modification of this form sharp result in voiding this <br /> Applicant: Hall-Irwin Aggregates,LLC By: ,...."6,44/ <br /> Bret Hall,Manager <br /> t .2017 <br /> NOTARY FOR PERMIT APPLICANT <br /> STATE OF COLORADO ) <br /> ) <br /> COUNTY OF WELD ) <br /> The foregoing was acknowledged before me this LE •1', 2017,by Bret Hall as <br /> Manager of Hall-Irwin Aggregates,LLC,the Applicant. <br /> ONNA M K .FT <br /> Notary Public # r <br /> a Polotado Notary Public <br /> ,w,-': s 02_ '6a <br /> I ;EOF 1 R ,,N1 ; • <br /> -ve 0, <br /> Structure Owner: WELD COUNTY Signatur-' , <br /> Date: July 10L 2017 Title: Julie A ozad, Chair, Board of <br /> Weld County Commissioners <br /> NOTARY FOR STRUCTURE OWNER <br /> STATE OF COLORADO ) <br /> ) <br /> COUNTY OF WELD ) <br /> The foregoing was acknowledged before me this 10thday of July ,2017,by <br /> Julie A. Cozad as Chair of <br /> Bo��,l ,t 57. 11 G. h 1'__ _ _- <br /> CHERYL LYNN HOFFMAN <br /> NOTARY PUSLIC <br /> STATE OP COLORADO , <br /> NOTARY ID 20144048044 <br /> wewmISSION LXPIRES DEC. 19, 2018 N.,!ry P , <br /> My ommis n expire , aryl Lynn offmanr <br /> 020/7-,24 27 <br />