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SEVIORRICIHT. NOREPRESENTJiTIUi:OTriFRWISCISI.IADEBY THE DISTRICT,IF THIS A1115 <br /> CONTRACT MAY 13F RESCrN-DFD UPON WRI ITN 1tOTIC"E UELIVFRED TO tlif:DiSf•RICT BY 7HE APPLICANT:WiTHINIi-iE <br /> NEXT 30 DAPS FOI.LOWhNG TIIE AFF LYING OF SIG.tiATURES ON THIS CONTRACT th WHICH EVENT ALL SLIMS PAID BY <br /> APPLICANT FORTI.IISCONTRACTSHALL.UF.I1.WEDIATELY REFUNDED TOAPPUC:ANT. <br /> Applicant Applicant <br /> STATEOF r •- � ) tµ�ttteerrr+,, 1 <br /> The feregaing Instrument 1%Es atkoawladged btforc me an lk'is day Jf ` 20 11 by <br /> C,A0!1i,1 Witness my hand and'bfBciPl.S191 'f'my,t aq$p:s�q In:r <br /> •N ,. <br /> STATE OF <br /> . F <br /> ss. ! <br /> COUNTY OF ) <br /> The foregoing instrument usr acknowledged before we on ibis day of 2D by <br /> Witnevmyboad acid official scAL Mycummis3ionexpires: <br /> Notary Public <br /> ORDER � <br /> x � <br /> After a beating by the Board of Diteelats orthe 1Ycst Divide Water Lbaservancy District on the Application.it is hereby 01I0ERED lbet said , <br /> Application be grertted and this Contract&ball be and is accepted by the District. <br /> WEST DIVIDE WATER NSERV CY DISTitI 1 <br /> By <br /> President 'r ' <br /> A ESA': , <br /> t <br /> �t <br /> 1 <br /> ary Alt, <br /> This Contiaet ludes end is subject to the terms and comrdow of the fa}touting dommeats which most nccotopany this CoctraeL <br /> 3. Map showing location of point of diversion(use mop provided) �r i <br /> Z Application end Data Form fully completed acid siSced <br /> The printedpatacotsa sfornkercrptdtffrrmllatedadditionrordektioar,haieberneppm-tit tndadnpted brtheWeflDhidelYaltr"rraagbHldct. <br /> Fai7as lVl11YC0 of-4t-aa t:t3trrrtpCl: _ � �i - ; <br /> • r <br /> t <br />