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CERTIFICATION <br /> Properties,Applicant. _JPA P erties <br /> • Lll- _ (print applicant/company name). <br /> John P. Ary (printi Managing Member (print <br /> bY representative's name). :�� <br /> representative's title).does hereby certify that Joseph and Brenda Ran (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 McCumber Pit (operation name). <br /> File Number M-2000-151 <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 JPI -YyD#)p1+ t,S (�.e Representative Name <br /> Date D` Title Iihp. — <br /> STATE OF___Eh_1 DI u <br /> ) ss. <br /> COUNTY OF hem ) <br /> The foregoing was acknowledged before me this IC day of 20,417 by <br /> as viijithijaik of ip ` pti <br /> My Commission Expires: / 01(p49, (p_ <br /> ary Public <br />