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Pixj <br />5003 <br />' <br />Transfer request NQ C — :,,,, <br />Walter T Pape, Inc. to <br />n <br />Application Checklist - <br />�PPlication Form: Complete the form located on page <br />Application Fee: Include check payable to Colorado I <br />and Safety. <br />U/Performance Warranty: Complete th <br />�' p e form locatcrt rt, <br />yV Financial Warranty: <br />replacement Financial <br />(available online at httr <br />Submit the appropriate Fi <br />Warranties using the forms <br />® Demonstration of Legal Right to Enter: Identify the <br />rights, obtain the documentation described above, and s <br />❑ Structure Agreements: Obtain new Structure <br />to do so. <br />-4- <br />K-1988-191 <br />ion of Reclamation, Mining <br />11. <br />Warranties or conditional <br />on the Division's website <br />iers of all surface and mineral <br />it to the Division. <br />if Permittee had been required <br />FEB 2 B 2419 <br />DIVISION OF RECUMATION <br />MININGAND SAFETY <br />