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6km e I Otero- 00(1 <br />Application Checklist <br />pe c <br />q_(a -1 4 ® Application Form: Complete the form located on page 5. <br />pe,:�,7n .n u.livr� hV- PLO- ?W f <br />Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />y_t f- y 44 Performance Warranty: Complete the form located on page 11. <br />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 htty: / /minina. state .co.us /Mineral %20Fonns.htm). <br />Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />rights, obtain the documentation describe above, and submit to the Division. <br />CjPL� peed 4u b �►2/��ASiAot /.gyp Riw� A <br />1� Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />