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PL:Ri\'ll'11'I:TJSTRUC'I tJRf: OWNER AGRI EMENT <br /> State of Colorado, Mined Land Reclamation (MLR) law requires the permit applicant (operator/permittee) <br /> to agree to reimburse the owner of any permanent man-made structure(s) within 200 feet of the permitted <br /> mining area for damage done to the structure(s) as a result of the permitted operation <br /> Deep Cut LLC believes Don Hansen own the following structure(s), located within 200 feet of the <br /> permitted mining area: building . <br /> Deep Cut LLC agrees to reimburse you for any damage done to the listed structures as a result of the <br /> mining operation. Your acknowledging signature and a notary seal in the spaces provided below shall <br /> satisfy the MLR law requirement. Deep Cut LLC certifies this agreement as follows, <br /> CERTIFICATION: The Applicant, Deep Cut LLC, represented by Christopher B. Tomky. <br /> as Manager, does hereby certify that Don Hansen shall be compensated for any damage <br /> from the proposed mining operation to the above listed structure(s) located within 200 feet <br /> of the permitted raining area described in the MLR Permit for 22 West <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY <br /> Permit Applicant. Deep Cut LLC 20330 CR CC Rocky Ford CO 81067 <br /> Representative. Christopher B Tomk , Manager. 719 469-5455 <br /> Signature- Date <br /> � 7 <br /> STATE OF COLORADO } <br /> > ss <br /> COUNTY OF OTERO ) <br /> (, 7- <br /> The foregoing was acknowledged before me this r day of lf ' ti 2016, by <br /> Christopher B Tomky. s the Manager of Deep Cut LLC <br /> J / p TON! JO PULLARA <br /> t r 1 NOTARY PUBLIC <br /> i t J > STATE OF COLORADO <br /> 'J}�' �i i Commission Expires: ,� J NOTARY iD#20104004605 <br /> Notary C MY COMMISSION EXPIRES FEBRUARY 11,2018 <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Str urt; I'-[tS) iron i,ansun— <br /> Signature -- c> -`� " `�r� Date r <br /> STATE OF COLORADO } <br /> } ss <br /> COUNTY OF bEALU ) <br /> The foregoing was acknowledged before me this day of�� 2015, by <br /> 1 <br /> ! y Commission Expires NOTARY PUBLIC Z <br /> NataryPubiic STATE OF <br /> NOTARY 10 COLORADO <br /> 01 11 40EJ <br /> am► 1ss1oN EMRIa OCT.e,Sol <br /> 75 <br />