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RECEIVED <br /> Application Checklist <br /> J,AN _: 5 2017 <br /> ® Application Form: Complete the form located on page S. ,.: of Reclamation, <br /> �l v <br /> Application Fee: Include check payable to Colorado Division of Reclamation,,Mining <br /> y and Safety. <br /> 1� Performance Warranty: Complete the form located on page 11. <br /> El 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://minin2.state.co.us,/N4ineral`/`2OForms.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 /> ❑ Structure Agreements: Obtain ne"v Structure Agreements if Permittee had been required <br /> to do so. <br /> A <br />