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pt� Application Checklist <br /> ErApplication Form: 'omplete the form located on page 5. <br /> � 29 ❑ Application Fee: In ludo check payable to Colorado Division of Reclamation. Mining <br /> and Safety. <br /> rvli+ `(}" ^ ❑`Performance Warr nty: Complete the form located on page I 1_ <br /> rn i E Financial Warran : Submit the appl•opriate Financial XVarranties or conditional <br /> U v 1139 replacement Financia Wa►rantics using the forms posted on the Division's website <br /> le O1111n1' at�t tlx: Illllilil '.,Mitt_C++_ll �1111:!'aI +u�Ul +�rll? .hlnl). <br /> /yr B'Demonstration of L gal Right to Enter: Identify the owner's of all surface and mineral <br /> tl rights. obtain the doc unentation described above. and submit to the Division. <br /> M Structure Agreemen s: Obtain ne%N Structure Agreements il'Permittee had been required <br /> to do so. <br /> RECEIVED <br /> CEIV <br /> FEB 0 8 2019 <br /> DIVIMINING AND SAFETY <br /> I <br /> I <br /> -4 - <br />