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AGREED: <br />By the Applicant: <br />State of Colorado ) <br />)ss <br />County of 40' o 5 ) <br />Notary Public <br />THIS AGREEMENT is entered into this IG' day of Pr C- , 20 1 o2- by and between <br />�j-�t Asphalt Specialties Company, Inc. (hereinafter referred to as the "Applicant ") whose <br />address is 10100 Dallas St., Henderson, Colorado 80640 <br />and // (2-n / 4 u , (hereinafter referred to as the "Structure Owner) and whose <br />address is > s --tu rt { tfi; S <br />The Applicant is seeking a State of Colorado Mined Land Reclamation Board Permit <br />amendment to mine sand and gravel and to reclaim the property. <br />The Structure Owner owns a permanent manmade structure within 200 feet of the land <br />affected by the proposed mining and reclamation operations. <br />The Applicant hereby commits to fully repair or to fully compensate the Structure Owner <br />for any damage to the structure which damage is caused by the Applicant's mining and <br />reclamation operations. <br />By Applicant's Representative and Title <br />The foregoing instrument was acknowledged before me this lo day of '+ 20 <br />by /_ak.0 as F� e = o�v - � � r %� � � �04_ � of <br />--- -eet5ore, <br />� rkc4 • (' Q.vt< , <br />My Commission expires: )-71 ()/// <br />AGREEMENT <br />Page 1 of 2 <br />ZU f� <br />DIVjs►DIV pp <br />/Z- /O- / G '/V�/ 91 <br />Date <br />IN1- 2 oo 9 <br />(11 q5 <br />JENNIFER J CAIRES <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20024029373 <br />MY COMMISSION EXPIRES 09/20/2014 <br />