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.
By: _ Date:
Anne Johnson
Land Manager
State of Colorado )
ss.
County of }
The foregoing instrument was acknowledged before me this day of
, 20 , by Anne Johnson as Land Manager for Lafarge West, Inc.
My Commission Expires:
Notary Public
Structure Owner
Structure Owner Signature
Date:
State of Colorado )
) ss.
County of }
The foregoing instrument was acknowledged before me this day of
5 20 , by
as of
My Commission Expires:
Notary Public
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Agreement to Mine Within 200 Beet of Permanent Manmade Structures
Lafarge West, Inc. /City of Greeley