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<br />"', <br /> <br />@ ,.,.., Tl'tc pu.,~t<: Rcc-ollo CO..O."TION <br />ALL RIGMTS R..CRVCD <br /> <br />Page 9 <br /> <br />D. t..'Catllcr Hodificatlol1 Publications and Reports (Host Recent First): <br /> <br />-' <br /> <br />r.. 1. Professional references and addresses (three or mere): <br /> <br />2. Character refcrencas nod addresses (three or morc): <br /> <br />) <br /> <br />r. State circumstances of any records oE arrests (for other than non-mavin?, <br />traffic violations) or treatment or confin~~cnt for mental cisorcers: <br /> <br />II. Specific Qualifications of ~pplicant: <br /> <br />h. Scction5 of the "Weather Modification Act of 1972" under which .:lpplic<1nt <br />claims qualification for a license (Check one or morc): <br /> <br />/ <br /> <br />Section lSl-i-7-Z(b) <br /> <br />11 <br /> <br />i11. <br /> <br />iv <br /> <br />n. Specific qualificJtions from Pare 1 claimed to fulfill requirements of <br />section(s) checked in Part II-~: <br /> <br />c. }:cthod(s) of w~ilcher modification for which expcrtis.c is claimed ,::m<.l <br />projects or operations (from Part I) where expertise was gainccl: <br /> <br />III. I certify th.1C Co the best of my knowledge the inform;Jtion c.ont.:lined in this <br />~?~llcation is correct. <br /> <br />Signed <br /> <br />Date <br /> <br />rr <~~~dition"l SJ1CCtS a.re nE'cef:!'>ary to providc sufficient information for eVc11u.1tLon o[ <br />th~ :l.?plicc1tion, ;ltta.c.h tb~m to thi~ application. <br /> <br /> <br />~ <br /> <br />THE CODE OF COLORADO REGULATIONS <br /> <br />2 CCR 401-1 <br />