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- 7 - <br />Certification: <br />As an authorized representative of the applicant, I hereby certify that the operation <br />described has met the minimum requirements of the following terms and conditions: <br />1. To the best of my knowledge, all significant, valuable and permanent man-made <br />structure (s) in existence at the time this application is filed, and located within 200 <br />feet of the proposed affected area have been identified in this application (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 extraction/exploration operations in the <br />State of Colorado currently in violation of the provisions of the Colorado Land <br />Reclamation Act for the Extraction of Construction Materials (Section 34-32.5-120, C.R.S. ) <br />as determined through a Board finding. <br />4. I understand that statements in the application are being made under penalty of <br />perjury and that false statements made herein are punishable as a Class 1 misdemeanor <br />pursuant to Section 18-8-503, C.R.S. <br />Signed and dated this day of ?Z- <br />Downare Land, Cattle & Equipment Company <br />If Corporation Attest (Seal) <br />Applicant /Operator or Company Name <br />Ir <br />` Signed: <br />Title: _ 2( <br />State of ??4 C1 ) <br />?- ) ss <br />County of 'aZ ' ) <br />Signed: <br />The foregoing instrument fore me this <br />was acknowledged b <br />by e <br />as\Z?:y?:t?\ <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />•day? of ?• <br />A ? '? <br />Nota Public <br />My Commission expires: y-?`?"o?C1C? <br />SIGNATURES MUST BE IN BLUE INK <br />06/26/97 2823FCO.112