Laserfiche WebLink
=~- <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that <br />described has met the minimum requirements of the following terms and c <br />operation <br />.lions: <br />1. To the best of my knowledge, all significant, valuable and perms nt man-made <br />structure(s) in existence at the time this application is filed, and 1 cated within 200 <br />feet of the proposed affected area have been identified in this applic lion (Section 34- <br />32.5-115(4)(e), C.R.S.). <br />2. No mining operation will be located on lands where such operations are prohibited by <br />law (Section 34-32.5-115(4)(f), C.R.S.; <br />3. As the applicant/operator, I do not have any extractionlexploratio operations in the <br />State of Colorado currently in violation of the provisions of the Colo ado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 4-32.5-120, C.R.S.) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made u <br />perjury and that false statements made herein are punishable as a C1 <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this l1-~. day of I'-FL+-a+. S-f- 1998 <br />Applicant/Operator o Com any ame <br />~/~/j t <br />S igned:{~~-~.~~-~ 0 .~9- ~ <br />Title : 1- P_.f~-5 ~+f~t~~ <br />State of WL~Fi(k Cep ) <br />1 ) ss <br />County of L(k~il/w2.A_ ) <br />If Corporation Attest <br />Signed: <br />Corporate 5e <br />Town/Ci <br />The foregoing instrument was acknowledged before me this [L~,day of <br />by ~~('-~A~/~ L:-oL~~.SaJ as ~eScS1C~~T of <br />My Commission expires: <br />SIGNATIIRES MUST SE IN HLIIE INR <br />06/26/97 2823FC0.112 <br />penalty of <br />1 misdemeanor <br />(Seal) <br />".. <br />eta~'y, or ..~:quiv <br />/Countjr:-,Clerk, <br />'~ " <br />., ~;'l.. <br />-., <br />.; .i.~ <br />~~• <br />;~'"• - . <br />'r~Lt7'J- ~, <br />~~ n <br />~1~ t~,, <br />..~ <br />