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tA <br /> al y&r� r P/— /5J5 Application Checklist <br /> Cf Application Form: Complete the form located on page 5. <br /> gApplication Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> 6,2jA7 and Safety. <br /> ✓u,�'►� ® Performance Warranty: Complete the form located on page 11. <br /> n ❑ 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%2OForms.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 /> f <br /> RECEIVED <br /> MAY 18 2011 <br /> RVISIOn of Declamation, <br /> Mining&Safety <br /> -4 - <br />