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<br />(5) THg. LOCATION _OF T.'f.PROPOSED we.bh.~ro;j th. If.. on
<br />whIch tn4 """let' will be us<<:f mutt be Indle.-ted on th. dtegram b"low.
<br />U.. IN CENTER SECTION (1 _tion, 640 _osl tor tIlf .....11 lout Ion.
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<br />The ~I.' ol'th. dll'groi;, 'Ia 2 Inc;ho. 0; t mile' '.' :
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<br />'W~TI" eOUIVp.LI!NTS TAel1:'(AO\Ir\decfF.ivv''''
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<br />M tcr...fooc (;Ovllttl 1 Ic;rl of land 1 foot d..p ',~. ..
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<br />,., f~Hy of 6 will ,~"lt'lC'pIO.IMaI.ly 1 ~foat of M1., pft VN'.
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<br />(6).1.jIEWELLMU~E LOCATED 8E'LOV!
<br />'Ow dicunc:" from (<<tion linn.
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<br />SUBOIVISION
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<br />(1) TRACT ON WHICH WELL WILL BE
<br />LOCATED Owner:
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<br />No. oller..
<br />the onlv W.II on thl, trlctl
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<br />. Will thi. be
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<br />(B) PROPOSED CASING
<br />Pllln Casing
<br />Ie, In.Irom ~ (
<br />
<br />PROGRAM
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<br />2.5
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<br />It. to
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<br />In.Iram
<br />Perloralld casing
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<br />/ c.._ln. Irom
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<br />ZS ft.to /&0
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<br />It.
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<br />in. from
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<br />(9) FOR REPLACEMENT WELLS Qi.edlstance
<br />and direction from old wtll Ind plln, tor plu91lnQ
<br />II:
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<br />NIA-'
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<br />(to) LAND ON WHICH GROU~JD WATER' WILL BE USED: I
<br />OWn.rhl: D-rAt:A //'JrE.IlNA"'IONAc...'l'rJC., No.ollCr..: /O()
<br />'i.O'/'ld"';"IPti~n:~ d~~',;L.;nlf~ ' ' '.
<br />(t 11 DETAILED DESCRIPTION' ~I she ,USI,o'f griKlnd Wlt,r: Household UM end dom.stlc weU, must Indl"c.ly", al dhpoul
<br />lV!tem ~ boUMI'. lu/ ~4T70"" ~,';:: 'r.,orJ: Cllu ~Se PA-If(W AVe.. .J 6IU€I'JS .
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<br />R.epc..Af\PMe,.n- of/:' t=h,.Jl)~IIA-PI'1R..A:rl~~..AAlD (tCJAMeA~JA'-
<br />t '])oMe~17~ US~f\ ;4:;- rt..4-iJt!,:l/()aS4 .
<br />(121 O,.HER WATER 'RIGHTS,:~sed on thl, lond; IncludIng wtlls. GII/tl Regl$t~t1on and Water Coort Cue N"",bora.
<br />')P TV'" or ri9hl Used tor (purpolll Oesalption of I.nd on which used
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<br />SIGNA TURE 01 ""''I.ICANTISI
<br />
<br />
<br />(131 THE APPLICANT(SI STATE(SI THAT THE INFORMATION SET FORTH HEREON IS
<br />TRUE THE BEST 0 HIS KNOWLEDGE.
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<br />Use, addition.1 sh"h of ......' If more 'PI<:e I' required,
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<br />AUG 8 IRq l~.~~
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