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QED <br /> Application Checklist D`C 2 ZQ16 <br /> �'UtiG ❑ Application Form: Complete the form located on page 5. <br /> r,Lvcf-Irnafion, <br /> Safety <br /> L ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> ❑ Performance `Varranq,: 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 Nvebsite <br /> (available online at http://mininc.state.co.us/Mineral`/`20Fon-ns.htm). <br /> -.►L ❑ Demonstration of Legal Right to Enter: Identify the oNNners 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 />