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DI4c 14 1 geIZ -dye <br />�� y ��fr ✓ Application Checklist <br />O ❑ Application Form: Complete the form located on page 5. <br />S 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 />y�pi Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />replacement Financial Warranties using the forms posted on the Division's website <br />iwt/ ZT4 vwd4v (available online at http: / /mining.state.co.us /Mineral %20Forms.htm). <br />❑ 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 />�p 1// ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />a�tit <br />� 2 v 3 <br />"' '101 <br />-4- <br />