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The Parties hereto acknowledge and agree to the above stated items. <br />Applicant: <br />Sara A. Glinatsis <br />Manager of Sunrise Mining, LLC <br />Subscribed and sworn to me this _ <br />Witness my hand and official seal: <br />Structure Owner: <br />Printed Name: <br />Subscribed and sworn to me this <br />Witness my hand and official seal: <br />day of February, 2017, by Sara A. Glinatsis. <br />Notary Public <br />My Commission Expires: <br />day of , 2017, by <br />Notary Public <br />My Commission Expires: <br />