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Application Checklist <br />la Application Form: Complete the form located on page 5. <br />13' Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />l� Performance Warranty: Complete the form located on page 11. <br />dFinancial 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 />L,9 (Ir -7 ❑ 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 />C to do so. <br />RECEIVED <br />SEP 30 201E <br />Division of Reclamation. <br />Miring & Safety <br />-4- <br />