2009-12-17_PERMIT FILE - M2009082 ‎(2)‎

• Permit No: M2009082
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/17/2009
• Doc Name: Status of Structures Agreements
• From: Vecchi & Associates, LLC
• To: DRMS
• Email Name: JLE
• Media Type: D
• Archive: No

The parties hereto acknowledge and agree to the above - stated items.
AGREED:
Lafarge West, Inc.
i
By: Date:
Anne Johnson
Land Manager
State of Colorado )
(� ) ss.
County of {� 6'j A .L-
The foregoing instrument was acknowledged before me this 1__'Yk� day of
1 p v � 6 , 20 n 9 , by Anne Johnson as Land Manager for Lafarge West, Inc.
I
My Commission Expires:
Notary Public
Structure Owner
Date:
Structure Owner Signature
State of Colorado )
) ss.
County of )
as
My Commission Expires:
day of
Notary Public
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The foregoing instrument was acknowledged before me this
, 20 by
of
Page 2 of 2
Agreement to Mine Within 200 Feet of Permanent Manmade Structures
Lafarge West, Inc./Petro Canada Resources, Inc.