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<br />AUTHORIZATION TO REPRESENT A PARTY <br />(Please Type Or Print The Requested Information) <br />SIGNATURES MUST BE IN BLUE INK <br />I Patrick J. Tellier Adiacent Landowner <br />(person's name) (title) <br />of Steamboat Springs (name of company, association, organization, etc.) am <br />authorized to delegate John A. Vanderbloemen , a consultant <br />(person's name) (consultant, etc.) <br />to represent Patrick J. Tellier (name of person, company, association, organization, <br />etc.) at the Pre-hearing Conference and/or Hearing before the Mined Land Reclamation Boazd in <br />this matter. <br />AND D~fED T~IS ~~ -DAY OF ,1. <br />A <br />signed in <br />If corporation attest (seal) <br />Title <br />State of C oLG~f}~U ) <br />ss <br />County of otc.~ ) <br />The foregoing//instrument was acknowledged before me this _~ day of C ~ /C/~~O .//~ <br />by l4+.,. ~ as Lc~/ ~/t,L0~0 of C'i %~-''~"" _ <br />~p~ARY PVB~ic ~ <br />r• RtJRiN •} Notary Public <br />.n ~_ PRYKE o My commission expires: /O • o~ c1 • CI ~j <br />SIGNATURES bIUST BE IN BLUE INK <br />A.lblkdoipnywve.wp <br />