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M2 -U `f-3 <br />Application Checklist <br />❑ Application Form: Complete the form located on page 5. ) JW464 <br />t f <br />7 :iUCll55dY M-bve FrtG 6 /v <br />�1 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />51 Performance Warranty: Complete the form located on page 11. <br />G L: 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://mininy,.state.co.us/Mineral%20Forms.htm). <br />G ❑ 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 />RECEIVED <br />JUL 23 015 <br />Division of Reclamation, <br />Mining & Safety <br />