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CERTIFICATION <br /> The Applicant, Cripple Creek & Victor Gold Mining Company (print applicant/company name), <br /> by Jack Henris (print representative's name), as General Manager (print <br /> representative's title), does hereby certify that the City Of Victor (structure owner) shall <br /> be compensated for any damage from the proposed mining operation to the above listed structure(s) <br /> located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br /> Permit Application for Cresson Project (operation name), <br /> File Number M-1980 244 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br /> the Colorado Mined Land Reclamation Act for Hard Rock,Metal,and Designated Mining Operations. <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOv EGED B � <br /> Yr�k� \Ac:tor <br /> Applicant L L nt Representative Name CL1'1�l S <br /> Date ` to 12k)t—+ Title e .Y e c�� <br /> STATE OFC_ 0 ) <br /> ` )ss. <br /> COUNTY OF \`eL�C ) <br /> The for going Ayas acknowledged efore me i day o V ,20�,by <br /> as of - r <br /> -�c.�td lvli� ►titl�.�L� <br /> My Commission Expires: T <br /> Notary Pu <br /> E <br /> ARIE ROBERTS <br /> - State of Colorado <br /> 20124056345 <br /> Expires Oct 3,2020 <br />