Laserfiche WebLink
L.G. EVERIST, INC. <br /> r� 7321 E. 88•rK AVENUE. Surre 200 <br /> RocK.SOLID SuvcE 1876 <br /> HENDIiRSON, Co1.oRnoo 80640 <br /> PxoNE 303-287-9606 • rim 303-289-1348 <br /> s.ivu <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: Date:_ �z A AZA <br /> STATE OF Colorado ) <br /> )ss <br /> COUNTY OF Adams ) <br /> The foregoing was acknowledged before me this 15th day of &wipe ' .2022, <br /> by Lynn M. Shults as Regulatory Manager of L.G. Everist, Inc. <br /> Notary Public: My Commission Expires: 2 2a ZDZ <br /> BRANDON WESCOTT D29,2024 <br /> NOTARY PUBLIC-STATE O <br /> NOTARY ID 2020404 <br /> STRUCTURE OWNER MY COMMISSION EXPIRES D <br /> ACKNOWLEDGED BY: <br /> Owner(s): Town of Platteville <br /> Mail Address: 400 Grand Avenue, Platteville, CO 80*%&fo5i <br /> Contact(owner/representative): n nt c S wytfuj <br /> Signature: Date: <br /> STATE OF Colorado <br /> )ss <br /> COUNTY OF I�C—� <br /> The foregoing was acknowledged before me this day of _ f�/'Y)bq, , <br /> by ,� !mil�1211C �CLhC�L�t/Cc� of`—//2 ILL);-, Or )'le L -7k V1 /4/ . <br /> Notary Public,�A• 0My Commission Expires: / 7 12 2 <br /> DANETTE M SCHLEGEL <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTA 06913 <br /> 1 <br /> My Commisd mruary 27 2023 <br /> WF-nPuq-FYC-Sfmrhirwl PffPrPAnmf-P1n"Pvi11P-Nnv7077 <br />