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PERM ITTEE/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 /> McAtee Construction Company believes James a & Sandra K Dickinson own the following structure(s), located <br /> within 200 feet of the permitted mining area: 2- buildings <br /> McAtee Construction Company agrees to reimburse you for any damage done to the listed structures as a result <br /> of the mining operation. Your acknowledging signature and a notary seal in the spaces provided below shall satisfy <br /> the MLR law requirement. McAtee Construction Company certifies this agreement as follows: <br /> CERTIFICATION: The applicant McAtee Construction Company represented by Brett Baker, as President, does <br /> hereby certify that James a & Sandra K Dickinson 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 <br /> the MLR Permit for the Riverside Pit. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: McAtee Construction Company. 6215 Clear Creek PKWY, Cheyenne, WY 82007 <br /> Representative: Brett Baker, office -307-635-9005 <br /> Signature: �� - Date: Z//4�s // ' <br /> STATE OF Wyoming ) <br /> ss <br /> COUNTY OF Laramie ) <br /> The foregoing was acknowledged before me this 1' t1 day of _ I by <br /> Brett Baker as President of McAtee Construction Company. <br /> Notary Public: a, '�� 4 My Commission Expires: <br /> �.M.Fwy"M.,.Y..'�•^q^y.-1y T..4...F.Y'1/'.-4'O r-'t..6 4.1iV•.-y` <br /> '} "NOTARY FOR STRUCTURE OWNER <br /> IJL <br /> ACKtVOWLEDGED"8Y_�!'r,,"'/ J12 <br /> Structure Owner(s): James a & Sandra K Dickinson Date <br /> Contact rint):,_)A-m` k)IDS aN Contact name (print ,4rv�� <br /> Sign e: Signature � ,. <br /> STATE OF L' <br /> ss <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of 1 r i� - ��' �' ��' � , by <br /> 17) <br /> Notary Public: r �'<'°Ct�t, L. �� 642i 6 �'Q1( lily Commission Expires: A7 CIA AA A ENBARK <br /> NOi_ARY PUBLIC <br /> SEN': TC STRuc-URE 01WN_: V:A CsriT:!_LL' MA:7 u 70'_02780000220(33292 STAT> OF COLORADO <br /> NOTARY IC 19974+002733 <br /> I t hY C;�'P,1,'•I S1Q^I EXPIRES FEORLi ,RY 9.2019 <br />