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m poi oei? <br />Application Checklist <br />'�. Application Form: Complete the form located on page 5. <br />l� Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. �p i L4 Lt ,00 <br />r� 1 <br />Performance Warranty: Complete the form located on page 11. <br />r 1�1 Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />V fjZ1f3 replacement Financial Warranties using the forms posted on the Division's website <br />(available online at http:Hmining.state.co.us/Mineral%20Forms.htm). <br />Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />U,1,(/ g rights, obtain the documentation described above, and submit to the Division. <br />1A Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />"4 <br />RECEIVED <br />JUN 2 6 2015 <br />Division of Reclamation, <br />Mining & Safety <br />-4- <br />