Laserfiche WebLink
PERMITTEE/STRUCTURE OWNER AGREEMENT <br /> M&G Pit Permit#M-1985-079 <br /> State of Colorado,Mined Land Reclamation(MLR)law requires the permit applicant(operator/permittee)to agree to <br /> reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area for damage done <br /> to the structure(s)as a result of the permitted operation. <br /> Mann Lake Holdings LLC.believes Sasaki Family Partnership,LLLP shall own the following structure(s),located within <br /> 200 feet of the permitted mining area Fence <br /> Mann Lake Holdings agrees to reimburse you for any damage done to the listed structures as a result of the mining operation. <br /> Your acknowledging signature and a notary seal in the spaces provided below shall satisfy the MLR law requirement. Mann <br /> Lake Holdings certifies this agreement as follows: <br /> CERTIFICATION: The Applicant Mann Lake Holdings LLC represented by Joseph M.O'Dea ,as the Manager <br /> does hereby certify that Sasaki Family Partnership,LLLP shall be compensated for any damage from the proposed <br /> mining operation to the above listed structure(s)located within 200 feet of the permitted mining area described in the MLR <br /> Permit for the M&G Pit. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant:Mann Lake Holdings LLC,2027 W.Colfax Avenue,Denver CO 80204 <br /> Representative: Joseph M.O'Dea,Manager,303.562.2000 <br /> JESSICA A.RAY <br /> Signatur . Date: 1 DI(D I i 1 GARY Pum <br /> STATE OF COLORADO <br /> STATE OF Colorado ) My NOTARY ID ESS 2008403598115, <br /> t5 2420 <br /> ss <br /> COUNTY OF DenverI nth <br /> ) __ <br /> The foregoing was acknowledged before me this day of Q('Trrik}er- ,2017,by Joseph M. <br /> O'Dea as the Manager of Mann Lake Holdings,LLC. <br /> Notary Publ _i,�"► _` a--/eal My Commission Expires: Oc* iS1 r42c <br /> NOTARY FOR STRUCTURE OWNER <br /> ACKNOWLEDGED BY: <br /> Structure Owner(s): Contact name(print): <br /> Signature: Date: <br /> STATE OF ) <br /> )ss <br /> COUNTY OF ) <br /> The foregoing was acknowledged before me this day of ,2017,by <br /> Notary Public: My Commission Expires: <br /> SENT TO STRUCTURE OWNER VIA CERTIFIED MAIL # <br />