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Moog d6+� <br /> \ Application Checklist <br /> O 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 /> 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 athq://mining.state.co.us/M*meral`/`20Forms.ht . <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. (J/A <br /> RECEIVED <br /> MAY 262017 <br /> ,,,vwision of Reclamation, <br /> Mining&Safety <br /> - 4- <br />