2005-06-20_REVISION - M1974052

• Permit No: M1974052
• IBM Index Class Name: Revision
• Doc Date: 6/20/2005
• Doc Name: submittal
• From: varra companies inc
• To: dmg
• Type & Sequence: SL1
• Media Type: D
• Archive: No

Varra Companies, Inc.
8120 Gaee Street Frederick CO 80516 Telephone [phone] Fax [phone]
A5 the Landowners for properties located over the northwest quarter of section 31; township 3 north;. range 67 west; 6"'
P.M.; Weld County, Colorado; we hereby affirm to hold harmless the State of Colorado Division of Mine2ls and Geology
(DMG) for release from all permft obligations, including financial and performance warranties, for lands remaining under
DMG Permit M3974-052. As the landowners, we assume all remaining liabilities otherwise obligated under said permit for
the purposes of continued Agricultural land uses allowed under the authority of Weld County, Colorado, or otherwise
allowed by state and fede2l law, and as provided by Warranty Deed to the property, as attached.
Affirmed on : ~ i) y~PU , ~, by:
Pasquale Varra, Owner
and
Varra Companies, Inc., Owner
Christoph~(/er~L. Varra, President
~n4`7' ~ ~c~t.~.er/ ~.
l~~ i
~; NOTARY
State of Co b~~: ~~ )
County of 1/~1 P I, I 1
e t> .. ,
The foregoing instru e(~t was ackrroy~ledged before rr~this 3~ day of Sri° aG~D ~, - :.. --
by t7,,~ e + `-I ham' ~, Vr*r-~-a as ti-.~,`c~~a„ f- = ='- ~ %of
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Notary Public ~ ~~=--~
My Commission Expires
/~ 1 /~ NOTARY
State of (~/nta~("~ )
County of ~ E /~_,)
The forego instrument was~cknowledged before me this day of JJ` r, ~,o ' ,~2'~ .~.~"., ~ ~, : "
by t~ . ~ l•-s rc~ as i~ ink n~~ ~ ~' of,-, '
~c~ c~vG T a ~- ~°~.
Notary PUbIIC ~ ~ , ;
My Commission Expires ~,
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