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�A <br />fh IRS 3y.D <br />Application Checklist <br />B Application Form: Complete the form located on page S. <br />:rN C 8 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />N 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 h :Ilminin.state.co,uslMineral%20Forms.htm . <br />8 Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br />A�rr�►nd rights, obtain the documentation described above, and submit to the Division.. <br />SNL ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />FES 23 20IR <br />Dimi,ion of Reclamation, <br />Mining & Safety <br />-4- <br />