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�A 1 4ataa <br />5I5,I/4 <br />,r <br />Application Checklist, <br />❑ plication Form: Complete the form located <br />10 on page 5. <br />1 Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />t�''►D Performance Warranty: Complete the form located On page 11. <br />Opp 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 htt :Ilminin .state.co.uslMineral%2aForms.htm}.1I/ 51d,.9a <br />pp 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 />1MV Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />RECEIVED <br />MAR 04 2019 <br />11EIE <br />