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ZOj X z7 <br /> Application Checklist <br /> �,(, B Application Form: Complete the form located on page 5. <br /> B Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> it and Safety. <br /> 8 Performance Warranty: Complete the form located on page 11. <br /> llb4 B Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> nOfrt'rt replacement Financial Warranties using the forms posted on the Division's website <br /> (available online at http: 'iiiiiiing.state.eo.tis,"Miiieral"0201-orms.htiii). <br /> 8 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 /> YYA-► A&I Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so�fi�A RECEIVED <br /> . <br /> SEP 23 2""b <br /> Division of Reclamation, <br /> n c., rn Mining&Safety <br /> l <br /> - 4 - <br />