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Application Checklist <br />Application Form: Complete the form located on page 5. <br />O/Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />performance Warranty: Complete the form located on page 11. <br />[H' 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). 3- L.t%C <br />D "bemonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />y 1 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 />It6LAC4 Z:�a P -(l&lk- // <br />