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DAMAGE COMPENSATION AGREEMENT <br />Parties to Agreement: <br />Land Owner: <br />Permanent Man-Made Structure Interest Owner: <br />Structure: <br />?tfa'ttN ?V4 ??-4v?t? o?`iu??? Nt2i{QvK?{? Z.C. <br />I, M tc:k&LA J, W AAA hiY' , as the representative of <br />who may an interest of the following man- <br />made structure of 'Pi v u?? have been properly <br />notified of this permit action. I hereby attest that I have received proper notice <br />from Palmer Pipe and Construction of the permit action above described. I attest <br />that I have been properly notified by Applicant, Palmer Pipe and Construction that <br />should damage to my permanent man-made structure occur during the course of the <br />permitted action, I will be duly compensated. <br />Signed <br />(property intYrest holder) BP amp-??ww ? t (date) <br />Signed before me this -1 'L° day of ovet,&SA , <br />2008, by M I C4+46 <br />na <br />My commission expires: 4' 24. z a t i <br />svi a e , Notary Public <br />State of Colorado <br />?MyCommission Expires7J21/2C)Ji otary Public <br />Signed <br />Palmer Pipe & Construction <br />381 Ute Junction Circle <br />Durango, CO 81303 <br />B? A wlo cc,7!) <br />3$a Pra;a,er RD . <br />tZ?vE'6j6= o' Co 83 fol <br />APF_ ""E <br /> <br />(Pat Palmer, Palmer Pipe and Construction) (date) <br />Signed before me this _/nom day of DanFE , <br />20Qg, by R L 4LI 4"_k k? <br />My c <br /> <br />Notary Public <br />3 <br />My Commission Expires 06/05110,,.