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M � <br /> 00 <br /> Application Checklist <br /> [$ Application Form: Complete the form located on page 5. <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. 9 /-f y, 0,6 <br /> Performance Warranty: Complete the form located on page I I. <br /> ❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> replacement Financial Warranties using the forms posted on the Division's website <br /> I (available online at litt ://millill-.state co us/Mineral%20Fo <br /> mshtm)• A�aed'3.o'D <br /> -r�- � 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 /> ?^L I—VA � P Structure Agreements: Obtain new Structure Agreements if Permittee had been re <br /> to do so. quired <br /> - 4 - <br />