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�� Application Checklist <br /> i2 Application Form: Complete the form located on page 5. <br /> 0-� pplication Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> an afety. <br /> Performance Warranty: Complete the form located on page 11. <br /> j� --040u4- A�"Or4/- <br /> mancial Warranty: Submit the appropriate Financial Warranties or conditional <br /> Z=4 replacement Financial Warranties using the forms posted on the Division's website <br /> (avai ble online at http://mining.state.co.us/Mineral%20Forms.htm). <br /> sod"M"� L <br /> fie ` � Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> Q•�Q!/i-R righ , 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 /> FEB 12 2015 <br /> Division of Reclamaft, <br /> mining&safety <br /> -4 - <br />