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Application Checklist <br />01"" Application Form: Complete the form located on page S. <br />Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />liPerformance Warranty: Complete the form located on page 11. <br />(Financial Warranty: Submit the appropriate Financial Warranties or conditional <br />replacement Financial Warranties using the forms posted on the Division's website <br />(av ilable online at htt• /minin .state.co.us/Mineral°/o20Forms.htm). <br />Xb-r R04 k:, C�° <br />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 />IiStructure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />-4- <br />