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5 J P1 <br />IL,1d�3 Application Checklist <br />IN Application Form: Complete the form located on page 5. 414-4-' l� <br />m Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. P) WVD <br />JR Performance Warranty: Complete the form located on page 11. <br />��d•13 � <br />QCG - 51 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/Nlineral`/`20Forms.htm). 'b 1, 1-) 7, ?5to. O� <br />r� zzi�iy <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 />-pJ6 ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />I gd d M Piz la ��erl <br />