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z <br />Ai .,4 /a - 00 7 <br />Application Checklist <br />Stj el El Application Form: Complete the form located on page 5. JAN 21 2015 <br />Division of R @,g1@mai`i ®R1 <br />A q �TNG ❑ Application Fee: Include check payable to Colorado Division of Reclam tiongM6mng <br />and Safety. <br />kKL 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 httn: / /mininiz.state co us/Mineral %20Forms htm). <br />IV, 4lZN-` ❑ 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 />n,� /TNG ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />Z! <br />hill <br />