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D {.mac <br />(10 y ��� Application Checklist <br />❑ Application Form: Complete the form located on page 5. <br />14 <br />B Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />a d� ; ,�(/ ❑ Performance Warranty: Complete the form located on page 11. <br />VV kV41N(--, ❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />W-4 ;,,,,,L- replacement Financial Warranties using the forms posted on the Division's website <br />F;w -arx V vf4) (available online at http: / /mining. state .co.us /Mineral %20Forms.htm). <br />TtiL ❑ 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 />ZNG ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />