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Application Checklist <br /> C�7 Application Form: Complete the form located on page 5. <br /> lhrl� �z� ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. f, 99,00 IR46-ev,.,L <br /> Performance Warrann,: 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://mininQ.state.co.us/Mineral`/`20Forms.htni). <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 new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> MAR 09 Z1n,,, <br /> Igi►x Oon of Reclamation, <br /> Mining& Safety <br /> - 4 - <br />