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M /q?5= d �v <br /> Apulication Checklist <br /> t Application Form: Complete the form located on page 5. <br /> ❑ Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. 151 1,5.00 -Rzce-�v44, t oc- r� aly�r.�v <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://minin2.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 /> RECE►VEb <br /> MAR 09 2011 <br /> 01011 t"of Reclamation, <br /> Mining& Safety <br /> - 4 - <br />