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The notarized signatures of the Structure Owner Representative and the Applicant <br />Representative confirm the Agreement between the parties and the repair/compensation <br />obligation of the Applicant as stated above. <br />IN WIT WHEREOF, the parties have executed this Agreement effective as of the <br />day of?SS , 2004. <br />MY Commission Expires Jan. 22,200 <br />Agreed by the Applicant: <br />Signature of Representative for L. G. Everist, Inc. <br />L. G. EVERIST, INC. <br />D -a V <br />ate <br />Name and Title (please print) <br />State of Colorado ) <br />)ss <br />County of 0A0j-a5 ) <br />e foregoing instrument was acknowledged before me on this ,;?4 day of <br />2004, by the signatory Representative above. Witness my hand and <br />official seal, <br />Notary <br />??taaY ?te?? . <br />ME: My Commission Expires. ? • ??p <br />esq., ,aOO <br />rFOF •CO?OQP <br />FL-LBDCAgreement-Sep2004.DOC 10