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rvlPolo .0,�� <br />Application Checklist <br />0"Application Form: Complete the form located on page 5. <br />Cdr Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />R'Performance Warranty: Complete the form located on page 11. <br />GeFinancial Warranty: Submit the appropriate Financial Warranties or conditional <br />/Y1 replacement Financial Warranties using the forms posted on the Division's website <br />(available online at hD://mining.state.co.us/Mineral%2OForms.htm). <br />C►3" 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 />2 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />JUN 19 <br />Division of f=:- 1---2rion, <br />-4- <br />