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RECEIVE1 <br /> , <br /> Application Checklist <br /> oDorado Division of Redamatiot, <br /> I' Application Form: Complete the form located on page 5. Mining and Saftey <br /> Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br /> and Safety. <br /> Performance Warranty: Complete the form located on page 11. <br /> ❑ 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 ht .// i in .state oo.us/Mi er 1l/`22 Fo s. t ). <br /> W4177a 57nM 06C15146J <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 /> S V C -77-e�l <br /> Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br /> to do so. <br /> -4 - <br />