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�n e\ample Structure :\greemcnt \\hich meets the requirements of the Statutes is sho\\n beim\. <br /> Xr** , <br /> �-': „ i.y�.k, eJ.r, :•;:n Y.n.h**:l.!:.,k}.h*;k J,.. *t:r.k j<;t*,y Y*%f*********k****k******.t;{c**:!.J::L l** <br /> Structure Agreement <br /> I hi; letter has been pro\ided to \on as the o\\ncr of a structure on or \\ithin t\\o hwuh ed (BOO <br /> !eel ,It ;1 proposed aline 'Site. the Stale of C oloradO. Division of Reclamation. \lining and Sart\ <br /> ("I)i\kion") requires that \\here a mining operation \\ill ad\ersel\ affect the stahilit\ (Tan\ shgnilieant. <br /> \,'Liable and permanent man-made structure hceated \\ithin mo hundred (2(1(1) feet of the afieeted land. <br /> the \pplicant shall either: <br /> ,1 P1(,\ide a notarized agreement het cell the ,Applicant and the Person(s) ha\ing an interest in the <br /> auctnle. that the \ppltcant Is to provide ercmpensatl(tn for an\ damage to the structure: 01 <br /> Hi \\ F,,. re 'Lit Ii an a,treenlcnt t annot be reached. the ,\ppllt ant shall pro\ide an apprr pI late <br /> :_i'leelinil e\aluat,on that demon-Araks that st,cti structure shall not be danla:ed b\ ;itti\ities <br /> e tli l iti ai the mining t per:ttutn. ui <br /> \\ here 5I1J1 ,,tritL1!i-e the \pplicart Ilia\ suppi\ a notarized letter, on lltllit\ lettelllcad_ <br /> the ' \\1111'! 1,1 the !all!'\ that the !111(: li.: cud ! .tlaimltion act.,\ prono;,cd \\ loot. <br /> dirt2d1 n then t11111t\. ( ( 1)',1111.'; Iln'i '\l(il('1'11111 Role (+ _i 12 cllol R1!(c1 '1 4 1`) cf 1101rl <br /> 1 11 1f'1 111'1/11' 1R?'1, 1, ,i / (!111'k:l/c' 0 1 _?lir <br /> /i( c +'1,)1Mb) 1%1J1t'<l1 r'il'l lit( Icllllliih)li Au/(I i Board') 1111\ determined[hot 11111 111/'1)] ll <br /> 'r''curc 111 t ,c lrlc(1 i'c/Iif'�c'lll` rill ,1!'11'1'1'h'l)/ 111111 c "!111'111 cc Ilh ( 1ool,'711111)11 11olt'1'1UR 11i11r 6 J 12(,i) <br /> R -/ ,'51-1/11'1 (lilt'1, oh 11111-(1 Rot k _Wt'!c/l liming kit/(' 0 <br /> 0 J lf 'll ( / ` ; �i /c'f 1, ' <br /> ._ei' ,l `�- `.�- '' 1171\ 11)1'111 0 ,h N'1111' \('I('1)1111>OC(' O1 1'71\71/'I))g( (;111/t/1c11/1't' li 11111111' <br /> /1:111 t c:)iul 1/c'_lllcliif)%;` fii'cl \1?all 'ii'! intik,: J/it' Rtial'((,ir 1111 X111'/ 111/C1e,,,,ai'1 lhll'll 11' 111'1 1>i 11,11 ' <br /> 111:1 ir) t'010/ c lilt it f'lit (, i0 (1 'i'c c "?t 'ii 'I c c c ill(' :if 11 t'i11n1'c t'il/t'lll ('1)li'Otlllr'J1\ 111 1111' !`�u:ll'tl('i'11h' <br /> he follow int?, structures are located on or within 200 feet of the proposed affected arca: <br /> Fence <br /> 111; (1,t' ,Jol ;srlr%i11r lull c l' 1( t 00 0 1('141101(' (%til;('1 <br />