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CERTIFICATION <br /> The Applicant, JPA Properties l_l,C (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 Chaffee County (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 291 Pit _ (operation name), <br /> File Number M-I987-195 . <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 JP- `24)/Cos'L-Eie,. U—�- Representative Name kr <br /> Date ! p5I c S Title fttUttelrikkleytiat �-- <br /> STATE OF Pp A0 revie ) <br /> ) ss. <br /> COUNTY OF on- ) <br /> The foregoing was acknowledged before me this lc day of , 20a5", by <br /> -PALI as YVNQhOLV ktti `4.u.- of ak. . <br /> . My Commission Expires: I a /01(0 <br /> o :ry Public <br /> �T' P <br /> f <br /> 1Y Cc ; 1 k Z 3,.0'3 <br />