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Application Checklist <br />❑ Application Form: Complete the form located on page 5. Pt? <br />ikJtA- <br />M 1 1,?3 --043 <br />L,,j 'c NA 14 - pu,QI4 <br />at4.e- 4r1( &wc , <br />,ZhdC Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />tit,L� rA& and Safety. tj t4q o 0 <br />B Performance Warranty: Complete the form located on page 11. <br />aCFinancial Warranty: Submit the appropriate Financial Warranties or conditional <br />�c L replacement Financial Warranties using the forms posted on the Division's website <br />(available online at http://mining.state.co.us/Mineral%20Forms.htm . -,(.41 g8q• 0 a <br />:i � IS Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />ra,,I1-yA i� rights, obtain the documentation described above, and submit to the Division. <br />'TOG El Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />