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' t , <br /> C5 <br /> Mao4 o03 <br /> Application Checklist <br /> a Application Form: Complete the form located on page 5. <br /> IP Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> Et 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://mining.state.co.us/Mineral%20Forms.htm). <br /> 121. 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 /> 1-1,6/t// Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> L`S <br /> C( ` RECEIVED <br /> MAY 0 9 2017 <br /> Division of Reclamation, <br /> iv;,,,,, Safety <br /> -4- <br />