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/4 Z0,9' 0 7 <br /> JP(' <br /> 0-; <br /> V`111 <br /> Application Checklist <br /> Liptile—Ipplication Form: Complete the form located on page 5. <br /> Di <br /> 111Q)c)o) Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> a d Safety. <br /> A eL,tb-t-46,1 1 <br /> Performance Warranty: Complete the form located on page 11. <br /> L4/30 0,c1 Financial Warranty: Submit the appropriate Financial Warranties or conditional <br /> '14 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 /> fecit- rights, obtain the documentation described above, and submit to the Division. <br /> 11-111 <br /> vt0,0 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> 2;1-0 <br /> - r- il4 -_,-7- I q b <br /> At <br /> i 4 <br /> ril oaf,i., i Y'7_, , t , <br /> RECE WED <br /> DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> - 4 - <br />