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L.G. EVERIST, INC. <br /> Roca SouD SrrvcE 1876 7321 E. 8$rH AvENuE, Sum,200 <br /> HENDERSON, COu)RADo 80640 <br /> %RX <br /> PHONE 303-287-9606 • FAx 303-289-1348 <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: 1 STATE OF OF Colorado ) <br /> )ss <br /> COUNTY OF Adams ) <br /> The foregoing was acknowledged before me this_ 51 t� day of A10"*tWV- , 2022, <br /> by Lynn M. Shults as Regulatory Manager of L.G. Everist, Inc. <br /> Notary Public: �e7b�1 My Commission Expires: 1 LlZ?f20 2q <br /> BRANDON WESCOTT OSTERT <br /> NOTARY PUBLIC-STATE OF COLORADO <br /> NOTARY ID 20204045113 <br /> STRUCTURE OWNER MY COMMISSION EXPIRES DEC 29,2024 <br /> ACKNOWLEDGED BY: <br /> Owner(s): Magness Land Holdings LLC <br /> Mail Address: Attn: Magness Investment Group LLC,4643 S Ulster St, Suite 1400, Denver, CO 80237 <br /> Contact(owner/representative): <br /> Signature: Date: ` 16e l o-1 <br /> STATE OF Colorado ) <br /> )ss <br /> COUNTY OF <br /> The foregoing was acknowledged before me this��day of .V �Q�{N1,b fi✓ yv v�i, <br /> by C,Yvt t,Sl:bL Nl&uht is of MaA mcS UA4 kL kA Ym S LX/ <br /> Notary Pu 6 �`� _ My Commission Expires: 6j-D2 ?.o Z? <br /> =1D <br /> OLTE <br /> blic <br /> Page 2 of 2lorado <br /> 4059464 <br /> res 04-02-2023 <br /> WF-DRMS-ExS-StructureLefter&Agmt-Magness-Nov2022 <br />