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<br />W/11-2 <br /> <br />3. Weather modlflcat10n experIence: <br /> <br />Pos It I on He I d <br /> <br />BegIn/End <br />Da te s <br /> <br />No. of Months <br />ProfessIonal <br />ExperIence <br /> <br />Employer's Name <br /> <br />----------See Attached Sheets------- <br /> <br />Please append addresses and phone numbers of employers. <br /> <br />4. Weather modlflcat10n publIcatIons and reports: <br /> <br />---------See Attached Sheets--------- <br /> <br />5. Names and addresses of at least three professIonal references: <br /> <br />Larry G. Davis - PO Box 3007, Boulder, Colorado 80303 <br />Keith Lebbin - PO Box '604, Scott City, Kansas 67871 <br />Wilbur Brewer - PO box 98, Bowman, North Dakota 58623 <br /> <br />Thomas Henderson - 5652 E. Dayton, Fresno, California 93727 <br /> <br />6. Are you a certIfIed weather modIfIcatIon operator or manager? <br /> <br />Yes <br /> <br />No x <br /> <br />If yes, please lIst certIfIcatIon number and date <br /> <br />7. The sect10n of the Weather Modlflcat1on Act of 1912 (CRS 3o-20-101~b) <br />under whIch applIcant claIms qualIfIcatIon for a lIcense: <br />(c1rcle one or more) <br /> <br />I <br /> <br />11 <br /> <br />1 I I <br />