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tvv% <br />J_ _� <br />-I Ix' -h <br />Application Checklist <br />(veUAV- �" �,�� CA Application Form: Complete the form located on page 5. <br />writ,&7 02e <br />C� 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 />lj 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://mininR.state-co.us/Mineral%20Forms.ht . <br />10 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 />Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />V1 P�, -7<<L 15 <br />-I/Io/ /4,,- <br />P � <br />,,- <br />Pt�(, �Pllt 115 <br />