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Application Checklist <br />f- 7 <br />- 13 Application Form: Complete the form located on page 5. Due. b4 v1 jzwe, h-r OU ca&l& <br />-Vit(� ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. $) ,4q.C)0 <br />® Performance Warranty: Complete the form located on page 11. <br />L ❑ 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). $ 2A S 172.0 Z) <br />may, G ❑ 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 />