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rVj 00 /- 0'r�2 <br />Application Checklist <br />Q' Application Form: Complete the form located on page 5 <br />EY' Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />["Performance Warranty: Complete the form located on page 11. <br />0' 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://minina.state.co.us/Mineral%20Fornins.htm . <br />❑ Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />I2��( rights, obtain the documentation described above, and submit to the Division. <br />W�' Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />JUN 12 2015 <br />jivislon of Redamaftrl, <br />Mining & Safety <br />-4- <br />