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RECEIVED <br /> Application Checklist MAY 2 4 2019 <br /> Application Form: Complete the form located on page 5. DIVISION OF RECLAMATION <br /> MINING AND SAFETY <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> ;and afety. <br /> Performance Warranty: Complete the form located on page 11. <br /> 94"inancial Warranty: Submit the appropriate Financial Warranties or conditional <br /> replacement Financial Warranties using the forms posted on the Division's website <br /> (avail a online at http://mining.state.co.us/Mineral%20Forms.htni). <br /> 49ex- emonstration 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 /> On <br /> 5/4 <br /> V1, <br /> a 1 <br /> -4- <br />