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521,7"- <br />1/1 <br />Application Checklist <br />IR Application Form: Complete the form located on page 5:-/0 <br />El Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />Performance Warranty: Complete the form located on page 11.-4:-2' <br />vNp 0 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 />® 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 />if► c 0 Structure Agreements: Obtain new Structure Agreements if Perknittee had been required <br />to do so. <br />yes l�1 d is 44' '"��n <br />4 <br />RECEIVED <br />SEP 22201 <br />n f Reclamatiotl, <br />Safety <br />