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<br />A PE~MIT TO CC~ST~UCT A WELL
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<br />ANTICIPATED PUI1PING Ri\TE __' -
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<br />AVERAGE ANNUAL AMOUNT OF GROUND WI\ I ER TO
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<br />BE APPROP~IATEO
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<br />ESTIMATED ~ELL JATA
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<br />Y~ter H~nagerncnt
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<br />LOCATE \JELL ON THE BACK OF THIS SHEET
<br />/ / f /'/ '/h:-,
<br />Dr i 11 e r . ',> t, L 1\ .., , _ I. No. /
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<br />. Signature of Applicant "~=
<br />a.lIDl.T I OI:LS _OF. AP.PROVAL
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<br />BEST COpy
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<br />I SS ~ ~.
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<br />APP LI CA T I ON ApPROVED:
<br />VALID FOR ONE (I) YEAR AFTER DATE ISSUED
<br />UNLESS EXTENDED FOR GOOO CAUSE SHOWN TO
<br />THE ISSUING AGENCY
<br />
<br />PEP-MIT NO.
<br />
<br />49207
<br />OCT G
<br />
<br />CONDITIONAL L:::7
<br />1971
<br />
<br />DATE ISSUEO
<br />
<br />(OV(
<br />
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