Laserfiche WebLink
~_ <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation described has met the minimum requirements <br />of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made structure(s) in existence at the time this <br />application is filed, and located within 200 feet of the proposed affected azea have been identified in this application <br />(Section 34-32.5-115(4)(e), C.RS.). <br />2. No mining operation will be located on lands where such operations are prohibited bylaw (Section 34-32.5-I 15(4)(f), <br />C.RS.; <br />3. As the applicant/operator, I do not have any extraction exploration operations in the State of Colorado currently in <br />violation of the provisions of the Colorado Land Reclamation Act for the Extraction of Construction Materials (Section <br />34-32.5-120, C.RS.) as determined through a Boazd 5nding. <br />4. I understand that statements in the application are being made under penalty of perjury and that false statements made <br />herein aze punishable as a Class 1 misdemeanor pttrsuant to Section 18-8-503, C.RS. <br />Signed and dated this ~.~ day of 0 C ~ o ~ e r , .~ 00 ~. <br />Duckels Construction, Inc. If Corporation Attest (Seal) <br />Apphcant/Operator or Company Name <br />Signed: ~ Signed: L P,(Lr,4~ ~~(A X , - <br />Corporate Secretary or Equivalent <br />Title: president <br />Town/City/County Clerk <br />State of se=esads ) <br />ss <br />Coumty of ~p,r t t j <br />The foregoing instrument was acknowledged before me thisI o73 day of ~ f~d~[Jc~ a00,Z, , <br />by Fr2l~ >~• Ll.r~iof5 as ~t'QSitlnu~. of DkC,fu.l5 l,miS-~rrcrfl'rrn..VUt., <br />~` r .~ <br />My <br />SIGNATURES MUST BE IN BLUE INK ~'~~~ J' ,C' ;~ <br />~i,-_ <br />