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2-71 <br /> Application Checklist <br /> p� Application Form: Complete the form located on page 5. <br /> Application Fee: Include check to Colo <br /> and Safety. <br /> payable rado 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 website <br /> (available online at http://mininc state co us/Mineral%20Forms htm). <br /> f�! 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 new Structure Agreements if Permittee had been required <br /> p jbl� 10L to do so. <br /> firma <br /> (A <br /> rLG RECEIVED <br /> OCT 27201H <br /> ,f Reclamation, <br /> 1& Safety <br /> A <br />