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me <br />A licatian Checklist <br />B Application Form: Complete the form located on page 5. <br />8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />IN Performance Warranty: Complete the form located on page 11. <br />B 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 ht Jlminin .stateco.uslMineral%20Forms.htm). <br />r ', B 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 />n G ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had leen required <br />to do so. <br />FEB 2 B 20118 <br />b+vislo" of (Reclamation, <br />Mining & Safety <br />-4- <br />