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t� <br />P4 A go "( -)(,a <br />Application Checklist <br />T ❑ Application Form: Complete the form located on page 5. ff ll OuL b tiN c <br />❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. -t Lj e.l,p a <br />® Performance Warranty: Complete the form located on page 11. <br />;P "" ❑ 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:/ /mining. state.co.us /Mineral %20Forms.htm). Lqq <br />,; g3`(.00 <br />�'�1G ❑ 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 />N6' ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />M <br />