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wf�tI (aArn <br />At, 144t_ <br />Application Checklist <br />❑ Application Form: Complete the form located on page 5. <br />[� Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />q 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 http: / /minim. state .co.us /Mineral %20Forms.htm). <br />E5 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 />ME <br />FEB 10 *015 <br />Division of Reciarnst M, <br />Mining & salely <br />