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Application Checklist <br />6/Application Form: Complete the form located on page 5. <br />El"�Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />r0 Perf ance 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 http: // mining. 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 described above, and submit to the Division. <br />�G L9 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />FEB 12 2015 <br />-4- <br />