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pq <br /> Application Checklist <br /> 8 Application Form: Complete the form located on page 5. <br /> B Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> B 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 littp:/hninilig7.state.co.us/Mineral%20Forms.htm). <br /> 1?� <br /> y ✓v{ ' 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 /> y"G <br /> 8 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> MAR 2 4 2017 <br /> (division of Reclamation, <br /> Mining&Safety <br /> -4 - <br />