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9 IITd0 <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 /> j) 11 7 ❑ Performance Warranty: Complete the form located on page 11. <br /> / t j Cal Financial Warranty: Submit the appropriate Financial Warranties or conditional f <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 /> J J�. F ❑ 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 /> I ❑ Structure Agreements: Obtain new Structure Agreements if Pernittee had been required <br /> to do so. <br /> RECEIVED <br /> MAY ? ' <br /> - 4 - <br />