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4—'` <br /> Agreement to Conduct Permitting by Electronic Means <br /> 5. Affiant will inform the Division of Reclamation Mining and Safety within thirty <br /> (30) days in the event that his/her authorization to execute ePermitting Documents <br /> on the Company's behalf is terminated. <br /> Further, Affiant sayeth not. <br /> L-evvy A. t)V'r C e-j <br /> Affiant's ame 1 ` <br /> Sig a re <br /> Notarized Affidavit of Signature <br /> STATE OF: ) <br /> Cb�o raga <br /> COUNTY OF: > ss. <br /> The foregoing instrument was acknowledged <br /> before me this L -V,-,day of 1��C� , �.o l 7 by <br /> (date) (month) (year) <br /> as <br /> Nla.rk G e v ► ►�- <br /> (Name of permittee representative) (title) <br /> of <br /> ot-t+ look ?-eso u-re,es. (ne <br /> (permittee) <br /> - -4 S&f&4 <br /> NOT Y PUBLIC <br /> JHARI L. SANDER <br /> (seal) NOTARY PUBLIC <br /> STATE OF COLORADO <br /> My Commission expires: NOTARY D 20004028624 <br /> R—2S - My Commission Ex Ores Sept.28,2020 <br /> Page 5 of 6 <br />