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11Y7 --�00 eo �? <br /> AI <br /> Application Checklist <br /> JZ1 Application Form: Complete the form located on page 5. <br /> ® Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> j 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://mining.state.co.us/Mineral%20Forms.htm). <br /> )W nt ei ❑ 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 /> r; to do so. <br /> APR 0 % 2" <br /> u, r;acl3mation, <br /> &Safety <br /> -4 - <br />