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.
Land Manager
State of Colorado )
22 ) ss.
County of ` d
Date: J 1 U
The foregoing instrument was acknowledged before me this 3a'j day of
p 2 , 20_, by Anne Johnson as Land Manager for Lafar a West Inc.
My Commission Expires: _C) D O
p'tARy�
Notary Public o
Structure Owner
Structure Owner Signature
State of Colorado )
) ss.
County of )
Epp;
Date:
The foregoing instrument was acknowledged before me this day of
20 , by
as of
My Commission Expires:
Notary Public
RA4137_0291I)ocutnentAAdjucent StructureAStntaure owner AgreetnentsXkr Agrmt.doc
Page 2 of 2
Agreement to Mine Within 200 Feet of Permanent Manmade Structures
Lafarge West, Inc. /Edd Orr & Olando Ltd & Orr House LLC