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/414V- 103 <br />Application Checklist <br />0 Application Form: Complete the form located on page 5. <br />6P Application Fee: Include check payable to Colorado Division of Reclamation, Mining <br />and Safety. <br />5Q 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 hnp:/ /mining. state .co.us /Mineral %20Forms.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 />l Structure Agreements: Obtain new Structure Agreements if Permittee had been required <br />to do so. <br />�.I�-13 ✓pJG <br />C40 h- <br />�) <br />-4- <br />