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soar ~~:- ~ ~~ ;x;3`7 <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 asserti~ig any <br />interest in t}~e subject land. <br />Additional Conditions All grading, topsoiling, fertilizing, seeding and <br />mulching will he performed as stated on the reclamation plan submitted to the <br />hlined Land Fclamation Board. <br /> <br />DEPARTPtENT OF HIGHWAYS, STATE OF COLORADO ?: le~W. b Fern I1cVe_ _ <br />(( Owner(s) - Insert as appears <br />above)) <br />By:_S~~~i /~//y/~~ir .7 BY: `~"~~/ ~ l~/'~ ~"+~1 ~- ~_«~~- <br />H. ll. Sdalters ?}y le W. P'c'.~ey <br />District }7aterials Engineer <br />By: By' ~ /'~ ~ -v-p~ - <br />Fern 1.1cVey ~ ' <br />,~ .~1~ ~ <br />ALP:el ~.e~ <br />DISTRIBUTION: .~ - s s~ `V~l) I s <br />i <br />Original - Design Engineer i-~ e -t °i~ ;~ ~ ~ <br />1 - Owner or each Owner ~ f r a ~~ ,~~ ~ <br />1 - Materials Engineer - Denver ~_ ,J{ <br />2 - Con§truction Engineer - District ~~' ~~ J ''~ ~ r <br />1 - Maintenance Engineer for all State Forces Projects "~ `~ =~ . <br />r. ~ <br />1 - District f, P.sst. District Engineers ;~ o r <br />,t ,t**,t,t**,t** • <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) <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. 418, dated April 7, 1972.) <br />Please attach plat of pit area. <br />Field Sample No <br />2025 <br />Page 2 <br />~~ <br /> <br />