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101g11015 <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 />X11.4 ❑ 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://miningtstate.co.us/Mineral`/`20Forms.htm). <br />U 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 />11111 ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />