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M X005-0�7 <br />Application Checklist <br />C1 Application Form: Complete the form located on page 5. <br />IN Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />0 Performance Warranty: Complete the form located on page 11. <br />10 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 />�-ftti <br />C916' 10 Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />iv I 1� rights, obtain the documentation described above, and submit to the Division. <br />1 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />M <br />RECEIVED <br />eie-;� <br />JUN 12 2015 <br />Division of Reclama001% <br />Mining & Safety <br />RECEI <br />JUN 2 6 2015 <br />Division of Reclamation, <br />Mining & Safety <br />