Laserfiche WebLink
L.G. EVERIST, INC. <br /> RCcx SouD SLVCE 1876 7321 E. 88rx AvgNue, SuiTE 200 <br /> HBND]r:R.SON, CoLoanr)o 80640 <br /> Priow 303-287-9606 0 rA.r•303-289-1348 <br /> SAND <br /> PERMITTEE /STRUCTURE OWNER AGREEMENT <br /> By and Between Permittee(L.G. Everist, Inc.)and Owners of Structure(s)Listed Below <br /> within 200 feet of proposed sand and gravel mine site <br /> PERMIT APPLICANT/OPERATOR <br /> ACKNOWLEDGED BY: <br /> Permittee: L.G. Everist, Inc. <br /> Mail Address: 7321 E 88th Ave., Suite 200, Henderson, CO 80640 <br /> Contact: Lynn M. Shults, Regulatory Manager <br /> Signature: Z"4 Date: �l 2— <br /> STATE OF Colorado ) <br /> )ss <br /> COUNTY OF Adams ) <br /> The foregoing was acknowledged before me this t5l41 day of Aourw cir , 2022, <br /> by Lynn M.Shults as Regulatory Manager of L.G. Everist, Inc. <br /> Notary Public: ' =--fir My Commission Expires: fzq124120zq <br /> BRANDON WESCOTT OSTERT <br /> NOTARY PUBLIC-STATE OF COLORADO <br /> NOTARY ID 20204045113 <br /> STRUCTURE OWNER IMY COMMISSION EXPIRES DEC 29,2024 <br /> ACKNOWLEDGED BY: <br /> Owner(s): Central Weld County Water District <br /> Mail Address: Attn: Stan Linker, 22352nd Avenue, Greeley, CO 80631]� <br /> Contact(owner/representative): I )Q.rin All_t.t b 1.10 r <br /> Signature: Date: <br /> STATE OF Colorado <br /> ) ) <br /> � )ss <br /> COUNTY OF <br /> The foregoing was acknowledged before me this cP, day of NbVe-M&Pr <br /> by �,-S fan n Kew of L'er�Wcxl Weld Cots-)J:- _WO-4er . <br /> Notary Public:�> GE:�LC,cQ> My Commission Expires: <br /> ROXANN GARCIA <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 19974001261 Page 2 of 2 <br /> WF-DRMS-ExS-StructureLetter&Agmt-CWCWD-Nov2022 <br />