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wtl�2�'l,D�s <br /> Application Checklist <br /> 8 Application Form: Complete the form located on page 5. <br /> B Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> 8 Performance Warranty: Complete the form located on page 11. <br /> 8 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 hgp://mining.state.co.us/Mineral%20Forms.htm). <br /> c- V�' 1 B Demonstration of Legal Right to Enter: Identify the owners of all surface and mineral <br /> vw-:PN� <br /> rights, obtain the documentation described above, and submit to the Division. <br /> rec L ❑ Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> RECEIVED <br /> FEB 10 20 i 1 <br /> Uvision of RecOms0on, <br /> Mining&Safety <br /> -4 - <br />