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-5- <br /> 4. I understand that statements in the application are being made under penalty <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 day of /Y7 �(R • <br /> Weld County Board of Commissioners /�pyl /V ��✓� <br /> Applicant/Operator If Corporation Attest (Seat ) <br /> BY: 4yd.::6e� Y: <br /> 36T4� <br /> Title: Chairman ell <br /> L t <br /> Wed � County Clerk to B <br /> State of Colorado ) <br /> Ss . <br /> County of Weld ) <br /> The foregoing instrument was acknowledged before me this day off by George Kennedy as Chairman of Board of ounty Commissi, <br /> Notary Public � 1� <br /> hiy Comp,t;;fc Z Ires Ja.1uary 10,1 <br /> My Commission Expires : <br /> (04/92) 2823F <br />