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<br />• ~ .. ^ . •, <br />The Owner her.,•, warrants that+ho~h,~5;.$c~lf_fKtitlo to the above described pre- <br />mises; tl+at l+c !::' th+e lawful right ~"0 grant this Option, and that he agreos to <br />hold ll,c De.;:~'.mcnt harmless frum any and all claims from others asserting any <br />intcres° in the subject land, <br />Additional Conditions /':~ r .h o° t1:•~ t;:::::;od rtztor_I11 a3 practlcablo in tlio lse.9s <br />OP tbn , rt:aont hit ui_}, Lo L;J~i iirrt. ('~•e•.t:.uCti%n will bu .~le+c•atl cn tho South aide <br />o`i'.:a ~rravatc•i n-~ a: in ?uc'~ 3 ~~~~:+nni` ±%i-:t n l.~v,l n_^~~a !a rvitntninou. ih° existing <br />uuoss svad tt,za•s-;~ ti?u. FS~ ~:c~'c:w.ll ::•a citi:ar ::n.iiaturccd or ct,aJ.lx roplnced <br />v`tou rac:oral o•.r~r~tic:~: t.'.•:r, L~>_^n csc-pleied. <br />DEPARTME!fT OF HIGHWAYS, STATE CF COLO <br />U. U. lt•vin.:an <br />Tit 1 e: .".=st+c. i;+y. ;:x. <br />(~ 11.Y ~r (1~r' Q <br />Own/e~~`(sJt-- Insert as;~ppcar s above <br />~ ~ - <br />JCiG: cl <br />DISTR1S~riION: <br />Original: Design Engineer <br />1 - Dwner or each U.+ner <br />1 -Materials Engineer -Denver <br />2 -Construction Engineer -District <br />1 -Maintenance Engineer for all State Forces Projects <br />~'k ~ ik ~': ~ 4t ~- it <br />STATE OF ~ ._ <br />ss. <br />COUNTY OF ) <br />The foregoing instrument ryas acknowledged before me this <br />A.D. 19 by <br />Witness my hand and official seal. <br />My commission expi <br />(SEAL) •- <br />Notary Public <br />(Original to be acknowledged and recorded if, in the opinion of the District <br />Engineer, there is possibility of transfer of the premises or question of title. <br />Refer to D.O.H. Memo No, 41fi, dated February 23, 1962.) <br />Please attach plat of pit area. <br />Field Sample No, <br /> <br />. _ --... __.... _.. ._ .,......._ _ ~ r <br />day of <br />