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/k\ n <br /> 071=-,I ,00j 0/13 <br /> Application Checklist <br /> fid 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 /> EJ Performance Warranty: Complete the form located on page 11. <br /> i Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> I,0replacement Financial Warranties using the forms posted on the Division's website <br /> ( (available online at http://mining.state.co.us/Mineral%20Forms.htm). <br /> 74 <br /> rIA T Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> taffy rights, obtain the documentation described above, and submit to the Division. <br /> L ‘11. 1.4 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> 10'1 \to do so. <br /> RECEIVED <br /> DEC 1 4 2017 <br /> Division of Reclamation, <br /> Mining&Safety <br /> -4 - <br />