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Application Checklist <br /> Application Form: Complete the form located on page 5. <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> if Warranty: Complete the form located on page 11. <br /> -00�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 http_//mining.state.co.us/Mineral%20Forms.htm). <br /> 7� 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 /> G 4 Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> o 111 to do so. RECEIVED <br /> JUN 12 2019 <br /> DIVISION OF RECLAMATION <br /> MININGAND SAFETY <br /> IS001 <br /> ACC <br /> M-2008-022 <br /> compliedl <br /> 2 Minor lnfractions S-0Q1 <br /> 1 Violation! <br /> ACY/thm <br /> -4 - <br />