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0loyOW <br /> Application Checklist <br /> ® 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 /> EP Performance Warranty: Complete the form located on page 11. <br /> 4�IY-4- ❑ 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://minim.state.co.us/Mineral%20Foi-ms.htm). <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 /> RECEIVE <br /> +TEA 11A Ulf <br /> IDiTiraa t:-aeiarriatiori; <br /> tfir11WITA Safety <br /> -4 - <br />