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<br />Submit original plus three copies <br />B. How appropnetton was inldated: _ 0 w if t r 1i.e <br />~C. Date water applied to beneficial tne: I - 1 - <br />6. Amount claimed: _ LQfd, '('(+a..V S_ya .A,(ous c(s ~ Absolute ^ Conditional <br />7. Use or proposed use: ~ S ~p~.~t,~9 a ~ - <br />A. It irrigation, complete the folWwing. <br />Number of acres historically irrigated ~{ (} ;proposed to be irrigated <br />--Le//gal description of acreage:/y <br />1'1~. / p (n ' 02 7. / 9c.~ / <br />B, If non-irrigattan, describe purpose fully. <br />8. Name(s) and addfess(es) of owners} upon which any structure is or will be located. upon which water is or wilt be stored, <br />or upon which water is or will be placed to Deneficlal usu. <br />t,~m~ Vc,.~ Va.{keto bu~5, <br />Ll, 1d~ V~ ~a~L~~u~u.2cr <br />9. Remarks: <br />Signature of ApplicOnl (ar Attorney) <br />ndtlrocc or nppricanl <br />Telephone No. . ~ / 0 ' 7Z ~- L! 3 9 ~ , <br />