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W �bA r,),, <br />Application Checklist <br />8 Application Form: Complete the form located on page 5. <br />oia03v$/ <br />B Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />B Performance Warranty: Complete the form located on page 11. <br />i2eG'll. 8 Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />I Gj_ �fJI S replacement Financial Warranties using the forms posted on the Division's website <br />r3 G (available online at http://minim,.state.co.us/Mineral%20Forms.litm). <br />B 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 />B Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />APR 22 ?015 <br />Division of Reclamation, <br />Mining & Safety <br />-4- <br />