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<br />The Owner hereby warrants that he has good title to the above described pre- <br />mises; that he has the lawful right to grant this Option, and that he agrees to <br />hold the Department harmless from any and all claims from others asserting any <br />interest in the subject land. <br />Additional Conditions_~S; ~ >r a taaiLa~l~an3 ---d-' <br /> <br />DEPARTMENT OF HIGHWAYS, STATE OF COLORADO J~/1-7~7;~Q ~ ,~~~'v <br />(Own s) - Insert as appear s <br />above)) <br />BY: By: .~%~ ~:,.,.s, <br />DSairSct F'ata$ls EefE.iarsr <br />BY: By: <br />ALP:el <br />llISTRIBUTION: <br />Original - Design Engineer <br />1 - Owner or each Owner <br />1 - Materials Engineer - Denver <br />2 - Construction Engineer - District <br />1 - Maintenance Engineer for all State Forces Projects <br />* **,t**,t,tt*,t <br /> <br />1 <br />STATE OF ) <br />SS <br />COUNTY OF ) <br />The foregoing instrument was acknowledged before me this day of <br />A.D. 19 , by <br />Witness my hand and official seal. <br />My commission expires <br />(SEAL) Notary Publie <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. 418, dated April 7, 1972.) <br />Please attach plat of pit area. <br />Field Sample No. <br />Page Z <br />