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PERMITTEE/STRUCTURE OWNER AGREEMENT <br /> State of Colorado, Mined Land Reclamation (MLR)law requires the permit applicant(operator/permittee)to agree <br /> to reimburse the owner of any permanent man-made structure(s)within 200 feet of the permitted mining area for <br /> damage done to the structure(s)as a result of the permitted operation. <br /> Grand-County Department of Road & Bridge believes Colorado Parks and Wildlife own the following structure, <br /> located within 200 feet of the permitted mining area: 3 strand wire fence <br /> Grand County Department of Road & Bridge agrees to reimburse you for any damage done to the listed structure <br /> as a result of the mining operation. Your acknowledging signature and a notary seal in the spaces provided below <br /> shall satisfy the MLR law requirement. Grand County Department of Road&Bridge certifies this agreement as <br /> follows: <br /> CERTIFICATION: The Applicant Grand County Department of Road & Bridge represented by Merrit Linke, as <br /> Chairman of the Grand County Board of Commissioners, does hereby certify that Colorado Parks and Wildlife <br /> shall be compensated for any damage from the proposed mining operation to the above listed structure(s)located <br /> within 200 feet of the permitted mining area described in the MLR Permit for the Inspiration Point Pit- M-1995-004. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: e <br /> Permit Applicant: Grand County Department of Road & Bridge P.O. Box 9. Granby, CO 80.4y_6_- <br /> Representative: Merrit Linke County Commissioner office-970-725-X f oo <br /> Signatu a�-_ � s _ l--r_ Date: `f S <br /> STATE OF Colorado ) <br /> ) ss <br /> COUNTY OF Grand ) <br /> The foregoing was acknowledged before me this day of fjQ Zg , by Merrit <br /> Linke as Chairman, Grand County Board of County Commissioners.4 <br /> Notary Public: �` { My Commission Expires: 7- I - ao <br /> ELAINE M. HENRE0*s4_-� <br /> NOTARY PUBLIC NOTARY FOR STRUCTURE OWNER <br /> STATE OF COLORAEv� <br /> NOTARY ID 040020,6 <br /> Structure wn o Parks and Wildlife Contact name(print): <br /> Title <br /> Signature: Date: <br /> STATE OF ) <br /> ss <br /> COUNTY OF } <br /> The foregoing was acknowledged before me this day of , 20 by <br /> as of <br /> Notary Public: My Commission Expires: <br /> SF.N"i Tt, SPRUMMIRE 011NEr VIA CEATIFTF:. MAIL it 70102780000,120(33094 <br />