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<br />',' <br /> <br />,Form W,.,I <br /> <br />-----. <br /> <br />\ l <br />V J:G <br />APPLICAT!UN FUll CULUfl^OU \oIE^ r IlEflMUO [F [C^ " 01/ LICUlSE flY" " <br />Colorado Department of Natural Reso rces '. ' <br />1313 Sherman Street, Room 718, Denver, Color 3 <br /> <br />for calendar year 2001 <br /> <br />Name of app1\cant: <br />Soc\a1 Secur\ty # of <br /> <br />Curtis D. Smith <br /> <br />Date: <br /> <br />3-12"-2001 <br /> <br />app 11 cant: <br /> <br />528-52-0077 <br /> <br />Home address of app1\cant: PO Box 172, Lakin, Kansas 67860 <br /> <br />Phone: 620,355-6913 <br /> <br />Name and address of present employer: <br />District No. 1 <br /> <br />WEstern Kansas Groundwater Management <br /> <br />Phone ~O 872-5563 <br />, ,zo) <br /> <br />Please enclose l\cense fee of $100. <br /> <br />Appl\cant's Background and Quallflcat\ons (attach addItIonal pages If necessary) <br /> <br />1. EducatIon (lIst most recent fIrst) <br /> <br />Instltutlon <br /> <br />Oates Attended <br /> <br />Degree <br /> <br />Area of study <br /> <br />Westminster Call. (Utah) Sept. '58 - Mav '63 BS <br /> <br />M::at-n <br /> <br />San Jose State Univ. <br /> <br />June '64 - .TlInp 'Ii'; <br /> <br />- <br /> <br />Meteorology <br /> <br />2. Soc\et\es or professIonal organIzatIons: <br /> <br />Weather Modification Assn. <br />American Meteorological Society <br /> <br />CO DNR/July 19, 1965 <br /> <br />Flece"'EO <br />NAR 22 2001 <br />CtfgIllIioWarw~ <br />, lltIO/) SOftrd <br />