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d' V I — / -� (--/C"J` CSU,/ <br />Application Checklist <br />M/'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 at http:' .mining.state.co.uslMineral%20Forms.htm). <br />AU ❑ 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 />,vol ❑`*Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />�Sk9 ykos,� <br />6 Y-'V\'t Ct- <br />-4- <br />