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� Ll M /If eypa[ <br />y Application Checklist <br />[7 8 Application Form: Complete the form located on page 5. <br />enc 8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />-0 N Performance Warranty: Complete the form Iocated on page l l . <br />_ r( 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 />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 />e 0 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />FEB 2 3 2018 <br />Division of Reda matim, <br />Mining & Safety <br />-4- <br />