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CERTIFICATION <br /> The Applicant, City Of Lamar (print <br /> applicant/company name), by Kirk Crespin (print representative's name), <br /> as Mayor City of Lamar (print representative's title), does hereby certify <br /> that Jack Evans (structure owner) shall be compensated for any damage <br /> from the proposed mining operation to the above listed structure(s) located on or within 200 feet of the <br /> proposed affected area described within Exhibit A, of the Reclamation Permit Application for <br /> Friederichs Pit 112 (operation name), File <br /> Number M- 2010 - 080 <br /> This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br /> authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br /> the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. <br /> Any alteration or modification to this form shall result in voiding this form. <br /> NOTARY FOR PERMIT APPLICANT <br /> ACKNOWLEGED BY: <br /> Applicant Representative Name c r <br /> ell <br /> Date 7 7 Title <br /> STATE OF <br /> ) ss. <br /> COUNTY OF Prov �U5 ) <br /> The foregoing was acknowledged before me this -1 day of JIJ U 20,, by <br /> 1<� r k e stet n as , C,,�o r of Q <br /> My Commission Expires: (13 0 L1 'a 9 <br /> Notary Public <br /> ELISE MI tP RE <br /> stow of Colorado <br /> CommiSSW 9- 24 <br />