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�nL <br />Application Checklist <br />Cir Application Form: Complete the form located on page 5 <br />rjja9dqo1D <br />IR Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />1�( 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 />(available online at http://minina.state. co us/Mineral%20Forms htm). <br />l* 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 />Ae-C - 8t2:7h6 <br />-4- <br />