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7 Application Checklist <br /> , <br /> Application Form: Complete the form located on page 5. <br /> ®' Application Fee: Include check avable to C <br /> and Safety. p olorado Division of Reclamation, Mining <br /> Performance Warranty: Complete the form located on page 11. <br /> ❑ Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> replacement Financial Warranties using the forms posted on the Division's -,vebsite <br /> (available online at http://minin9-state co us/Mineral%20Forms htm). <br /> f�1 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 /> (ti 5t Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> L%r-'#'E1VED <br /> OCT 2i 2Q► <br /> �f Reclamation, <br /> Safety <br /> A <br />