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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 SO 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 INL'018-057 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant toils <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction <br /> Materials and the Colorado Mined Land Reclamation Act for Hard Rock,Metal,and <br /> Designated Mining Operations. Any alteration or modification to this form shall result in <br /> voiding this form <br /> NOTARY FOR PERMIT <br /> APPLICANT <br /> ACKNOWLEDGED BY: FSTATE <br /> SHUA MOLGAARD <br /> Applicant Venture Resources Inc. Representative Name Patrick D.MaherNOTARY PUBLIC <br /> OF COLORADO <br /> Date �s{ r4 �.e� Title President TARY ID 20064029265 <br /> j r M .SION EXPIRES 07/27/2022 <br /> STATE OF C�10 - u ) <br /> The foregoing was acknowledged before me this day of �__- <br /> 1/t <br /> — —My Commission Expires: <br /> Diary Public <br /> NOTARY STRUCTUREME ER <br /> l"f DEBORAH WHISENAN:20020] <br /> ACKNOWLEDGED BY: �sV1 Notary <br /> Notarylic-State ot l0 2012403 01 <br /> Applicant Gregory Bruno Re ivc Name Gregory Bruno My Commission Expires Jun <br /> Date Azo y m a�2 �?-Title U W r <br /> STATE OF ) <br /> COUNTY OF CY.ACCAM t ) <br /> 'I be foregoing was acknowledged before me this day of AkV' •20 by °�} <br /> �f�Jl.r__oC yD,n3'weQ.�R..SorlurCtS �IV�. <br />