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<br />COLOIiAOO DIVISION OF WATEii AE~UACE~
<br />.1. c..,,~ ~~';' 1313 ShlrmWl SL,. o."',t,. Coloudo 84203
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<br />~IIT APl'LlCATlON FO.fi/~ RF:CEIVE[J(ECEIVED
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<br />I I A PiRlouT TO USE GROUND v..\Tf't.~AY 1 a 198~AY 0 4: 1961
<br />1).cI A ptRIoUT TO CONST~uCT A WHl ~ O(r.-,",':~'
<br />(.><;1 A P{AMIT TO INSTALL A PU'.!P .\1.1 .;,.<', ;il S1(.' "":~'
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<br />I I REPlAC<:/,IE/,T fOR NO, _~',.__
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<br />l'<AT(R CO\.AlT CASE NO,
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<br />FOR
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<br />(1) APPI.I CAf;(T . m~",nieddr~~;-'--
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<br />NAME ._J:~ (.._~~ 9 ~ ~ .._.:..~.. ::~l=~'.L~~:'yJj~'-
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<br />Tl:UPHONE NO, _, .:l'..2.~..,:. - ....?:;-,g-,-/
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<br />(2) LOCATlO~_Qf..!'aOPOS!:D WELL
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<br />(3) WAT.IB liS~_~.I'JD.I:''''E,I,L.P,AJA
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<br />Avef.1ge o1nf'ilJ.1 lr"hotJnt Df QtOund wJt~ /
<br />to lx' .PptOQrltltccJ (Krt.fH1):
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<br />Nvmtx,o( 0' ~:rn to be ,rr'QolIlcd:
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<br />ProPO,"" 10111 O~Plh II..tI:
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<br />Aqulh." IJreJUIIU W41L" I. tu b.: utJtuint.-d ~rn:
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<br />Ovllll'('S well cJt"'ltJrl"tjan~.. ::!.-
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<br />Gf-;OUND WATEA TU BE UllED FOJi:
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<br />1 'HOuSEHOLD U~E ON'L': . no l<rig"lion (0)
<br />( I DOMESTIC 111 I IINOUSTRIAL (5)
<br />f:X! I.lVF.STOCK (21 I I IRRIGATION (61
<br />T I (;QMM~ HCIAL (4) I 'MUNICIPAL ISI
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<br />DET AIL THE USE ON BACK IN ( 11)
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<br />(4) P.8ILLER
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<br />TelephQne No, __._
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<br />1,1<, No. 7,'.-:2 _..._..
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<br />FOP. OFFiCe v:;" O^,L.Y: 00 NOT WAllE IN THIS CaL.W,'"
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<br />P.0<"~1 No -L!f.13..l!J A
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<br />CONDITIONS OF APPR~
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<br />This well shall bo used in such a way os 10 cause
<br />no matcrjJI inj'HY 10 existing wa\~r r,ghlS, The
<br />i$Sunncc of the permit does not aSSlJre the !Jpplican(
<br />that no injury will occur to ~nOther vested w;1tcr
<br />right or preclude .lnother oW"~r of a veStCd Wolter
<br />right frOITl st!ekiny relief in a civil COwrt action,
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<br />Url1iJ,,.,; llDlSUm ro Cll3 19~. 31.~R.S~
<br />(3) (bllIIl .&S m Ollty rn.L ON .\ ~:UC'l'
<br />or 35 Acm:S M ~JlU D~rG:i.1Ti:'1l AS '10
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<br />lPlROVEDPORSUAIT TO CF.S 197~. 37.~2-~02
<br />roa Tm: U':~~Tli(; 0; U\-';S:J~:: c:; J.. ",U;,!
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<br />OWNER'S COpy
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<br />BEST COpy
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<br />APPL ICA.r.IQN..~Y5.Q
<br />PERMIT NUMBER 120306
<br />OATE ,ssuee~Ol ~
<br />EXPI~.I01TO l'~ _~
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<br />I.e. 3 - 3" COUNTY () 2. .. ,
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