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�A <br />M Nqv NY <br />Application Checklist <br />4AN 8 Application Form: Complete the form located on page 5. <br />'T& j[- 8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />B Performance Warranty: Complete the form located on page 1 l . <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 http://mining.state.co.us/Mineral%20Forrns.htm). <br />LeJ5e- B Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />aArwz" - rights, obtain the documentation described above, and submit to the Division. <br />❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />�� to do so. <br />RECEIVED <br />FEB 2 3 2018 <br />_,.vision of Redamadon, <br />N4"ng & Safety <br />-4- <br />