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<,1 A <br />Application Checklist <br />,rN)C, ❑ Application Form: Complete the form located on page 5 <br />Pj -7 AU4- <br />xNG ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />1a Performance Warranty: Complete the form located on page 11. <br />uL ❑ 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 athttp://mininiz.state.co.us/Mineral%2OForms.htm). $1*t0j (eVu oa <br />❑ 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 />❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />