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fyi1074 (�� <br /> Application Checklist <br /> B Application Form: Complete the form located on page 5. <br /> 8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> B Performance Warranty: Complete the form located on page 11. <br /> 8 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 littp:/,,"minin,,-,.state.co.us/,Mineral%2OForms.11tnl). <br /> S 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 /> yNL <br /> B Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> MAR 24 2017 <br /> (division of Reclamation, <br /> Pining &Safety <br /> - 4 - <br />