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0(jo <br /> r q*i Ql3 <br /> rG;v <br /> Application Checklist <br /> /t/ Application Form: Complete the form located on page 5. <br /> Application Fee: Include check payable to Colorado Division and Safety. of Reclamation, Mining <br /> �Ic Ito❑ 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 website <br /> (available online at http://minim state co us/Mineral%20Forms htm). <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 /> f� Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> A <br />