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ACKNOWLEDGEMENT RECEIPT <br /> Lincoln County Clerk <br /> I hereby acknowledge that on (Date), Castle Rock <br /> Construction Company left in this office a copy of a mining permit application which <br /> they submitted to the Colorado Division of Minerals and Geology requesting permission <br /> to mine borrow material from the property located in the Southeast '/4 of the South east '/4 & <br /> the Southwest%4 of the Southeast'/a of Section 32, T 11 S, R53 W <br /> It is understood, that by signing for the receipt of this application, neither the person <br /> signing nor this office assumes any responsibility as to the accuracy of the information <br /> which it contains, endorses this application, or assumes any responsibility for it <br /> whatsoever. <br /> Sign: �i.�l/ Date: <br /> By: aczL _(print) <br />