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�µ <br />Application Checklist <br />-pC ® Application Form: Complete the form located on page 5. -7 <br />a 00( 0 I <br />® Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />0 Performance Warranty: Complete the form located on page 11. <br />f� frLIS 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 athttp://mining.state.co.us/Mineral`/`20Eorms.htm). *11601(,00.00 <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 />�G ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />lt0 d &� Qdlah" <br />-4- <br />