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<br />. <br /> <br />. <br /> <br />(enter any special conditions) <br /> <br />18. Approved and granted by:STATE of Colorado <br />COLORAD WATER CONSERVATION BOARD <br /> <br />Accepted By: For: <br /> <br />By: <br />Signature <br /> <br />Printed Signature <br /> <br />Title: <br /> <br />. <br /> <br />Date: <br /> <br />Notary Public <br /> <br />. <br />