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"L �( IC �C- ol7 <br /> Application Checklist <br /> ® Application Form: Complete the form located on page 5. <br /> Q Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> Performance Warranty: Complete the form located on page 11. <br /> rn f ❑ 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://minina.state-co-us/Mineral`/`20Fonns.htm). <br /> ate` 24 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 /> ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> ot- <br /> RECEIVED <br /> SEP 1 1 2014 <br /> Division of Reclamation, <br /> mining& Safety <br /> -4 - <br />