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5JM <br />Application Checklist <br />LNG <br />44 ❑ Application Form: Complete the form located on page 5. PT I 444'0- i� <br />❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. P) 4+ ,vo <br />0 Performance Warranty: Complete the form located on page 11. <br />.NC ❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />replacement Financial Warranties using the forms posted on the Division's website <br />(available online at http: / /mininc. state .co.us /Mineral %20Forms.htm). b t (i) 71 ?64r. OD <br />�-uC ❑ Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />rights, obtain the documentation described above, and submit to the Division. <br />,COG, ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />