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Wiga7 ole <br />•�,� Application Checklist <br />Oev\ ; 1� 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 />�] Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />replacement Financial Warranties using the forms posted on the Division's website <br />oku p-� (available online at http://mining.state.co.us/Mineral`/`20Forms.htm <br />�(V ® 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 />V <br />e-1 /10/ -,o1 41- <br />0 t�, 1,01111�) <br />ZE <br />