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CERTIFICATION <br /> The Applicant, City of Lamar,Colorado (print applicant/company name), <br /> byKirk Crespin (print representative's name), as Mayor City of Lamar (print <br /> representative's title), does hereby certify that Hans and Joleyne Friederichs (structure owner) shall <br /> be compensated for any damage from the proposed mining operation to the above listed structure(s) <br /> located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br /> Permit Application for FriederiChs Pit 112 (operation name), <br /> File 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 A, <br /> Date 7/7 Title_- �ih✓ <br /> STATE OF (at() ) <br /> ss. <br /> COUNTY OF ?(bL%R53 ) <br /> The foregoing was acknowledged before me this 7 day of 3 , 20aa, by 4tA <br /> '1 CdeSAth as 0r of <br /> My Commission Expires: m •n4-oR L( <br /> Notary Public <br /> [ELISE MICHELLE PEREZ <br /> NOTARY PUBLIC <br /> taryColorado <br /> ID# n3l04/2024mnssion U <br />