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/ <br /> • • • <br />-5- <br />4. I understand that statements in the application are being made under penalty <br />of perjury and that false statements made hereto are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this 8th day of March 1993 <br />Moffat County Road Department <br />Applicant/Operator <br />By: <br />Title: Road Super 3or <br />If Corporation Attest (Seal) <br />By: <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />Stdte Of Colorado ) <br />ss. <br />COUnty Of Moffat ) <br />:.';_;.' <br />The foregoing instrument was acknowledged before me this8~ day of March c~c <br />by Warren J. Cooper as Road Suparv;~nr of Moffat rp~,ty <br />~'~ ~o /~. G Y~~rr~~r <br />=~~ ~- Notary Public <br />My Commission Expires: 3-12-95 <br />2B23F (02/05/93) <br />