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ry) 1q ?7 1015 <br />Application Checklist <br />M Application Form: Complete the form located on page 5. <br />-T� VG 8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />404 8 Performance Warranty; Complete the form located on page I 1. <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 h :Ilminin.state.co.uslMineral%20Forms.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 />A Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />FEB 2 3 2018 <br />0IVIN10f, of Reclamation, <br />Mining & Safety <br />-4- <br />