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SIGNED, SEALED AND DATED this 15th day of March 2021 <br /> Dolores County Road & Bridge Departmeht <br /> l <br /> Operator (SEAL) <br /> By. <br /> Title: Dolores County Road Supervisor .' <br /> � I f <br /> �. <br /> ' I ! <br /> NOTARIZATION OF OPERATOR'S ACKNOWLEDGEMENT <br /> STATE OF Colorado ) <br /> ss.: <br /> COUNTY OF Dolores ) <br /> The foregoing instrument was acknowledged before me this 15th day of March 2021 <br /> by Michael S. Davis as Dolores County Prospective Successor of Dolores County Road&Bridge Department. <br /> LINDA D REHMERT Notary Public <br /> Notary Public <br /> State of Colorado My Commission Expires oa/O <br /> Notary ID#20084007093 <br /> My Commission Expires 03-04-2024 <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> MINED LAND RECLAMATION BOARD <br /> DIVISION OF RECLAMATION, MINING AND SAFETY <br /> By: Date Executed: <br /> Division Director <br /> Rev. 05/12 <br /> - 13 - <br />