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Application Checklist <br />`111OWr B Application Form: Complete the form located on page 5. <br />G 8 Application Fee: Include check payable to Colorado Division of Declamation, Mining <br />and Safety. <br />8 Performance Warranty: Complete the form located on page 11. <br />y� 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 htt :Ilminin.state.co.uslMineral%20Forms.htm . <br />LZ& s,1- 8 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 />L ® Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />FEB 23 2013 <br />lfwaa awa , <br />xk*` !g & satey <br />