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✓Y1 1,1gg04 <br /> Application Checklist <br /> Jif Application Form: Complete the form located on page 5. <br /> NN/Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> -M Performance Warranty: Complete the form located on page 11. <br /> VI", 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 http://mining.state.co.us/Mineral%20Fonns.htm). <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 /> G ® Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> FEB 2 3 2010 <br /> Division of Reclamation, <br /> Mmmg&Safety <br /> - 4 - <br />