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M j q rJ0Z <br /> R VE-C3,E I V E D <br /> Application Checklist DEC 2 2016 <br /> G ❑ Application Form: Complete the form located on page 5. Pedaf®n, <br /> 1i& safety <br /> L ❑ 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 http://minim state co us/Mineral%20Forms 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 /> A <br />