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CERTIFICATION <br /> The Applicant, JPA Properties 1_1.�. (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 Rhodes Rentals LLC (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-1987-195 . <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 JQ •‘),ro(;),A16;t5t I h,c. Representative Name <br /> Date V I is l ds-- Title <br /> STATE OF Eta ) <br /> ss. <br /> COUNTY OF KY�yyto ) <br /> The foregoing was acknowledged before me this l day of , 200—, by <br /> �lelnin as rh YYLtibtY of Pet-c)rb tit3 at_ <br /> 41 / .• A—A My Commission Expires: 1 t (t) <br /> Naar Public <br /> eft <br /> JODI D 3CHREIBER <br /> NOTARY PUBLIC <br /> NC TARP D 2 064 0 7 g2 <br /> '. MY COMMISSION EXPIRES OCTOBER 6,2026 <br /> • <br /> arM <br />