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tA <br /> emu,us�n �r'n t -u,;A4, /5J5 Application Checklist <br /> U C� Application Form: Complete the form located on page 5. <br /> yy�� ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <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 htta://mining.state.co.us/Mineral%20Fornis 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 /> yyy; ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> MAY 18 10'1, <br /> + �Il of I- edamation, <br /> Pai+nng&Safety <br /> -4 - <br />