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S002 M 6- tq <br /> TC1/mac <br /> *NO Certified Receipt! <br /> Application Checklist <br /> plication Form: Complete the form located on page 5. <br /> 00 <br /> ;/'*Ap'Dplication Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> d Safety. <br /> —/Performance Warranty: Complete the form located on page 11. <br /> .I)V Ld 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). �1,a39p-vo-63 <br /> AAA Ef 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 /> �cti� C'f Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> FEB 15 2019 <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> - 4 - <br />