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0 (2) <br />(3) <br />(4) <br />A copy of an insurance certificate similar to Figure 3 -1 will be submitted to the Division <br />annually. <br />Notification statements will be included on the insurance certificates. <br />Self insurance - not applicable. <br />2.03.10 Identification of Other Licenses and Permits <br />A list of licenses and permits held by the applicant to conduct the underground mining <br />activities is set forth in Table 3.9. <br />2.03.11 Identification of Location of Public Office for Filing of Application <br />A copy of this application, complete except for data and other information determined <br />to be confidential according to Rule 2.07.5, will be filed with the Mesa County Recorder <br />at the following address: <br />Mesa County Clerk and Recorder <br />544 Rood, P.O. Box 20,000 <br />• Mesa County Courthouse <br />Grand Junction, CO 81502 <br />2.03.12 Newspaper Advertisement <br />The proposed notice of publication of the ownership, precise location, and boundaries <br />of the land to be affected by the coal mining operation is presented in Figure 3 -2. <br />0 3 -6 Rev. 11/03 <br />