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Application Checklist <br /> I� Application Form: Complete the form located on page 5. <br /> E' Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> f Performance Warranty: Complete the form located on page 11. <br /> Nk ❑ 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 htlp://mining.state.co.us/Mineral%20Foi-iiis.litm). <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 /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> APR 07 2016 <br /> Divism OfR6dMTSM,, <br /> Wn,imga Wety <br /> -4 - <br />