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-3- <br />The provisions hereof shall bind and inure to the benefit of the parties hereto and their <br />successors and assigns. <br />SIGNED, SEALED AND DATED this day of , <br />Rio Blanco County (SEAL) <br />Permittee <br />By: <br />Title: <br />NOTARIZATION OF PERMITTEE'S ACKNOWLEDGEMENT <br />STATE OF <br />COUNTY OF <br />ss. <br />The foregoing instrument was acknowledged before me this <br />by <br />as <br />APPROVED: <br />State of Colorado <br />Mined Land Reclamation Board <br />Division of Minerals and Geology <br />Bv: <br />Division Director <br />of <br />day of <br /> <br />NOTARY PUBLIC <br />My Commission expires: <br />Date: <br />M:\OSS\tdd\tempVN-AP-2I_M2002049_GAS_20020513_22600 PM.doc <br />