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�i <br />to lap��`L' <br />Application Checklist <br />C�1 Application Form: Complete the form located on page 5.-' 6 <br />Q Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />L� Performance Warranty: Complete the form located on page 11: L <br />5 y,�r ❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />V511i14 replacement Financial Warranties using the forms posted on the Division's website <br />(available online at http://mininj4.state.co us/Mineral%20Fonns htm). <br />® 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. OA �yvp <br />RECEIVED <br />SEP 2 2 70 ` <br />M <br />