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Application Checklist <br /> I9 Application Form: Complete the form located on page 5. <br /> I9 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> 8 Performance Warranty: Complete the form located on page 11. <br /> 8 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:/Imininn.state.co.us/:\Mineral%2OForms.htm). <br /> I 1,22 I 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 /> 4 to do so. <br /> 0'`� l/ <br /> \'\ RECEIVED <br /> NOV 0 7 2017 <br /> LUivision of Reclamation, <br /> Mining&Safety <br /> -4 - <br />