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Page 2/3 <br /> CERTIFICATION <br /> Connell Resources, Inc. <br /> The Applicant, (print applicant compam name). <br /> John WarrenPresident <br /> by (print representative's name). as (print <br /> Ladera Business Improvement District <br /> representative's title), does hereby certify that (structure <br /> 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 Timnath Connell Pit amencment (operation name), <br /> File Number M-1999_050 . <br /> This Juror 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 Alined Land Rec•lanration .4ct fi r 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 Connell Resources, Inc. Representative Signature "-r _ <br /> Date Vl Zy y Title Zete... 1- <br /> STATE OF _ 0 ) <br /> ss. <br /> COUNTY OF _ <br /> The foregoing was acknowledged before me this ay of2025, by <br /> as 0�----, - <br /> _ ^ --- My Commission Expires: 0510C112-0271Not ry Public <br /> JANESSA EKBERO <br /> NOTARY PUBLIC <br /> STATE OF COLORADO <br /> NOTARY ID 20194017780 <br /> MY COMMISSION EXPIRES 05/09/2027 <br />