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CERTIFICATION <br /> The Applicant, JPA Properties r,l,r„ (print applicant/company name), <br /> by John P. Ary (print representative's name), as Managing Member (print <br /> representative's title),does hereby certify that Volker Shurr _(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 Buena Vista Pit (operation name), <br /> File Number M-1977-196 <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 -P' k is Representative Name <br /> Date l5 1a,S Title <br /> STATE OF a1omita ) <br /> ss. <br /> COUNTY OF ,e oKA-- ) <br /> The foregoing was acknowledged before me this 1,S day of a} 0as, by <br /> J ply - M as - of AVM fvb fM c lam` . <br /> frAfaCli My Commission Expires: (0/((/ <br /> ►•��e Public r, <br /> /yv r? e Jr- Pr-op e z-, e <br /> l I <br /> 0- 6l` r� cz.61,ec'a4., 0CR �G� <br />