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55.0 <br />A1411 -ore <br />5 ) ovc" <br />� Application Checklist <br />' "-q, pt -7 f`G [ Application Form: Complete the form located on page 5. �7c4R_ tN�1gN�� h1' ! <br />Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />i 13 and Safety. ->1 Ljq.00 <br />® Performance Warranty: Complete the form located on page 11. <br />IR 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 %20Fonns.htm). $ 2g 5' j 172.0 0 <br />El 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 />,h (t'h❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />