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s5ILI <br />Application Checklist <br />raj oD, //3 <br />,;: G ❑ Application Form: Complete the form located on page 5. p5 7 P444 <br />LNG ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. -pi %4 q V c) <br />& Performance Warranty: Complete the form located on page 11. <br />G ❑ 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://mining.state.co.us/Mineral%20Forms.htm). + 14aJ t53.0o <br />'TtJG ❑ 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 />x t1G ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />