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PERM ITTEE/STRUCTURE OWNER AGREEMENT <br /> Mine: Native/Pierre Mine-M-1977-321 <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 /> Summit Brick and Tile Co. believes Cimarron Square Condominiums LLC own the following structure(s), located <br /> within 200 feet of the permitted mining area: Building <br /> Summit Brick and Tile Co. agrees to reimburse you for any damage done to the listed structures as a result of the <br /> mining operation. Your acknowledging signature and a notary seal in the spaces provided below shall satisfy the <br /> MLR law requirement. Summit Brick and Tile Company certifies this agreement as follows: <br /> CERTIFICATION: The Applicant Summit Brick and Tile Co. represented by Matthew R. Welte as CEO, does <br /> hereby certify that Cimarron Square Condominiums LLC 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 Native/Pierre Mine. <br /> NOTARY FOR PERI1i"IT APPLICANT <br /> ACKNOWLEDGED BY: <br /> Permit Applicant: Summit Brick and Tile Co. P.O. Box 533 Pueblo 81002 <br /> Representative: Matthew R. Welte CEO-719-542-8278 <br /> Signature: �tdl�. �%✓. fit-t, Date:/ Vic' <br /> STATE OF Colorado ) <br /> ) ss <br /> COUNTY OF Pueblo ) <br /> The foregoing was acknowledged before me this JJ day of 2020, by <br /> Matthew R.Welte as CEO of Summit Brick &Tile CO. <br /> ��1��� �m �" " _%may, - / <br /> Notary Publi y Commission Expires: �t_..�. <br /> EEN A C;LEMENTI <br /> NOTARY PUBLIC <br /> NOTARY FOR STRUCTURE OWNER STADO <br /> TE OF COLO0 9 <br /> NOTARY ID 20144043949 <br /> ACKNOWLEDGED BY: rnvcoMMlssIOH-E PIResNovEeNBeal9,z� 2 h` <br /> Structure Owner(s): Cimarron Square Condominiums LLC Contact name(print): rl�lflGL� 1'[ wt�' t VC <br /> Signature: Date: 4 " �v <br /> Title: <br /> STATE OF Ca to rcLdO ) <br /> COUNTY OF QVD0AA. je(d�ss <br /> The foregoing was acknowledged before me this day of til & Vie- 2020 , by <br /> Thaoo hoona Le M4?U yew <br /> Notary Public: My Commission Expires: Zc( <br /> SONYA STANLEY <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19964006338 <br /> MY COMMISSION EXPIRES APRIL 10,2024 <br /> SrN'r TO S PUC71URE. OWNKF1 VIA CF:R'rrrrrD MAIL. 4 70192970000082391431 <br />