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The following structure is located on or within 200 feet of the proposed affected area <br /> Structure(s)Name and/or Description: <br /> 1. Gregory Bruno is the owner of the Major mining claim that has a building that is <br /> approximately 20 feet by 80 feet.The building was used as a work shop and stable but is <br /> currently unoccupied. <br /> CERTIFICATION <br /> The Applicant,Venture Resources Inc.,by Patrick Maher,does herby certify that Gregory Bruno <br /> shall be compensated for any damage from the proposed mining operation to the above listed <br /> structures(s)located on or within 200 feet of the proposed affected area described within Exhibit <br /> A,of the reclamation Permit Application for the Old Town Reclamation Project,File Number <br /> M NL'018-057 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant toils <br /> authority under the Colorado Land Reclamation Actfor the F—r&actdon of Construction <br /> .Materials and the Colorado Mined Land Reclamation Act for Hard Rosh,Metal,and <br /> Designated Mining Operations. Any alteration or modification to this form shall result in <br /> voiding this form <br /> NOTARY <br /> )FOR FERMI APPLICANT <br /> ACKNOWLEDGED BY: <br /> Applicant Venture Resources Inc. Representative Name Patrick D.Maher JOSHUA MOLGAARD <br /> NOTARY PUBLIC <br /> Date s r .5 Title President STATE OF COLORADO <br /> NOTARY ID 20064029M <br /> srATE or•L,fo -Jo MY COMMISSION EXPIRES 07/27/2022 <br /> The foreddgoing was acknowledged before me this_4 �day ofA-;s-.f .20 V`b_ by lbk:.L __as <br /> of <br /> —My Commission Expires:_7 z R io - <br /> �IVntary Public <br /> NOTARY STRUCTURE OWNER <br /> ACKNOWLEDGED BY: � f�i� DEBORAHWHISENANT <br /> Notary Public State of Colorado <br /> Applicant Gregory Bruno Re ivc Name Gregory Bruno Notary ID 20124039017 <br /> pinsJun 2 <br /> / My Commission Expires Jun 27,2D20 <br /> Date AZO V--/-�, /1 C2 1- �itle U C tJ r[ i"' <br /> STATE OF 1-&Ao __)�- <br /> COUNTY OF r-k,&cC'1[1 t ) <br /> The foregoing was acknowledged before me this_}day of t' .20M by as <br /> J M Jcor+wk;ss.01% CrPtc�S <br /> A,o-r k" (IkILL.tC J.AL,27 -1.0ZO <br />