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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. ,�'��S-vim <br /> 19 Performance Warranty: Complete the form located on page 11. <br /> t4 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%20Fonns.htm). <br /> ® 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 /> (R Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> See c�Tta��eot le�'Cer '�ovr` �� S�aUR�/ y��ccesS►Gv� <br /> of e,-± r IS e-z Y Plete, aJ re 24 <br /> �` <br /> /14Mc� <br /> d <br /> �aS Gru�%(otri �PoC de ICPSS►a. a� O rc�� 4na <br /> 41 <br /> &ub 5.2 a,,,-go-r► Z-Pj ri q^C, o VAC e S S . lea-StQG�V/S 1JC ` '4r- / �v GI,V/YtL�r�C 4���'�- /S /z°d, <br /> See a l-o aAa-zled (�I/VA- )e t;s . v <br /> - 4 - <br />