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Application Checklist <br /> kim Application Form: Complete the form located on page 5. <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> Performance Warranty:Complete the form located on page 11. <br /> Froll 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%20Forms.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 /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> MAY 15 2016 <br /> II7 wea oa of FFbdafmttii n, <br /> waingJ& <br /> -4- <br />