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r. -b os i t '62-13P Humphries 13036603852 P.11 <br />0 CERTIFICATION <br />The undersigned, Ft -4 A . Di b c e 1,5 (print name), ? r- e5 (print <br />title), Duckels Construction does hereby certify Hogue Ranch shall be <br />compensated for any costs incurred resulting from damage to the above listed structure located <br />on or within 200 feet of the proposed affected area described within Exhibit A, of the <br />Construction Materials Mining Permit Application, Hogue River Gravel Pit resulting from the <br />proposed mining or reclamation activities. <br />Duckels Co n: <br />Name: Fi--e / A Doc:/ <br />STATE OF COLORADO ??' ` <br />? KAUFFjMN <br />Routt County <br />The fore going w-as ackno S me this W d of ei 2011 by <br />(Name) 1 e ?? C , as(Title) S: tv7?- of Duckels Construction. <br />i My commms"! Ci4mcm <br />My commission expires: May 21, 2012 <br />otery ob <br />ACCEPTED BY: (Print Name) C4, J/4 n A0 Title: o , for <br />Hogue Ranch <br />Signature: Date: 2/ 2011. <br />• 2of2