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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 Sand ArroyoPit(M-1978- <br /> 283)permitted mining area,for damage done to the structure(s)as a result of the permitted operation. <br /> The Walsenburg Sand and Gravel Company believes Evelyn&Louis Vezzani own the following structure(s), <br /> located within 200 feet of the permitted mining area: Roads, power transmission lines and poles 3-strand wire <br /> fence on east side <br /> The Walsenburg Sand and Gravel Company, agrees to reimburse you for any damage done to the listed <br /> structures as a result of the mining operation.Your acknowledging signature and a notary seal in the spaces <br /> provided below shall satisfy the MLR law requirement. The Walsenburg Sand and Gravel Company certifies this <br /> agreement as follows: <br /> CERTIFICATION: The applicant The Walsenburg Sand and Gravel Company represented by Gary Vezzani , as <br /> the Vice President,does hereby certify that Evelyn&Louis Vezzani shall be compensated for any damage from <br /> the proposed mining operation to the above listed structure(s)located within 200 feet of the permitted mining area <br /> described in the MLR Permit for the Sand Arroyo Pit. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: The Walsenburg Sand and Gravel Company, P.O. Box 352, Walsenburg, CO 81089 <br /> Representative: Gary Vezzani Vice President hone 719-738-1883 <br /> Signature: �'� • L Date: ?L_> "Z`1 <br /> STATE OF Colorado ) <br /> )ss <br /> COUNTY OF Huerfano ) <br /> Z` 1� j,ii � ✓ �L lc/ b Gary The foregoing was acknowledged before me this .� day of_ 5eI> y <br /> Vezzani as the Vice President of The W�alsenburg Sand and Gravel Company.. <br /> :7 G -v'" My Commission Expires: %� OC �v Notary Public: '_i7..tA <br /> 1 BEVERLY FODOR <br /> NOTARY FOR STRUCTURE OWNER(s) NOTARY PUBLIC <br /> STATE OF COLORADO <br /> ACKNOWLEDGED BY: NOTARY ID 20014014548 <br /> Structure Owner(s): Evelyn&Louis Vezzani MY COMMISSKN+t EXPIRES MAY 9,2021 <br /> Contact name(print): Evelyn Vezzani / <br /> Signature: � Date: <br /> Contact name(print): Louis Vezzani / <br /> Signatur o 6` U Date: <br /> STATE OF .L�� 4A, ) <br /> )ss <br /> COUNTY OF <br /> The foregoing was acknowledged before me this day of,,, i , by Evelyn Vezzani <br /> and Evelyn Vezzani for Louis Vezzani as POA. <br /> BEVERLY FODOR <br /> Public t_�-:C�.,, i t. 1 c' �� ��, NOTARY PUBLIC <br /> My Commission Expires COLORADO <br /> NOTARY ID 200140/4548 <br /> MY COMMISSION EXPIRES MAY 9,2021 <br />