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<br />• -5- <br />4. I understand that statements in the application are being made under.nenalty <br />of perjury and that false statements made herein are punishable as a Class 1 <br />misdemeanor pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this ~/sr day of U~=~EmBE~ ~95~ <br />Duckels (:onstruction, Inc. dba Yampa Aggregate <br />Applicant/Operator <br />By: / <br />Title: President <br />State of CoLoi2,4De ) <br />> ss. <br />County of I`oUTT ) <br />s - <br />If Corporation Attest .(Seal>~ ;~:~, <br />By: <br />Corp a Secretary or valent <br />Town/City/Countv.C_lerk <br />~e f_oregoing in/1\\strument was ackno/wI~'ledged before me thisa/S'day of Li:CEm86,Q. (99~ <br />by l RF1~ /~ . UUCKELS as !"~6S~AEn1T of J~(CKELS CoA15TRUCTionI,~A1C , <br />Notary u611c <br />(04/92) 2823E <br />My Commission Expires: ~/ S 9 <br />.-',. <br />J _ / ~'L~ r <br />i/ ~ .~ <br />\~ ~ ~ _`r^ <br />!r'.r-_ - <br />• <br />