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Agreement to Conduct Perrrrittirtg 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 /> Afliant's name <br /> Signature <br /> Notarized Affidavit of Signature <br /> CAr <br /> ) SS. <br /> 1S IfVi"I- IUD/4% v �5 <br /> The foregoing instrument was-acknowledged <br /> before me this day of by <br /> ' (date) mo—th — , (year) <br /> as D c�t�C� (c ttit--S ►"Vlc'-c <br /> (Name ofpermittee repres n ative) (title) <br /> of L 1a <br /> (permittee) <br /> NOTARY PUB IC <br /> ZAINAB(Jenny)A.Shariff <br /> NOTARY PUBLIC <br /> (seal) 3190 Edgemont Blvd. <br /> My Commission expires: North Vancouver, B.•C.V7R 2N9 <br /> Tel:(604)904-7827•Fax:(604)964-7845 <br /> i <br /> Page 5 of 6 <br />