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1 a 22 O,P <br /> Application Checklist <br /> 8 Application Form: Complete the form located on page 5. . -' <br /> S � 8 Application Fee: Include check payable 10 Colorado Division of Reclamation, Mining <br /> and Safety. rGcsa 312#21 fi#'q <br /> E Performance Warranty: Complete the form located on page 11. <br /> Ndj 140/444(0F.nancial Warranty: Submit the appropriate Financial Warranties or conditional <br /> eplacement Financial Warranties using the forms posted on the Division's website <br /> (available online at http://mining.state.co.us/Mineral%20Forms.htm). <br /> (4* 1 B 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 /> N/A o Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> JAN 15 2016 <br /> :vision,6,R <br /> &sooty <br /> -4 - <br />