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Application Checklist <br />Application Form: Complete the form located on page 5. <br />E9' Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />1214erformance 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://mining.state.co.us/Mineral%20Forms.htm). <br />r40,; air/elDemonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />ect5e.- i I- -l5 rights, obtain the documentation described above, and submit to the Division. <br />L" Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />re cx /l_4-15 to do so. <br />OCT 0 6 2015 <br />DIVISION OF RECLAMATION <br />MINING AND SAFETY <br />4 <br />