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Submit original plus three copies <br />~,Distrid CouA ,(/' , <br />Water Division ~ ° / ~O ? .~ ~- _, Colorado <br />Court Address~G ,n ~~~ r ~ <br />,~ ~j ~J <br />IN ~'~F-- t-C'~' _ COUNTY. <br />Attorney or Party Without Attorney (Name and Address): ~} Case Number: <br />s/«~~,~ <br />Phone Number: C C n y E-ma~:f.:e.e ~/ <br />,~ /fi Sy9 2_ <br />FAX Number; Att . R .#: - Division Courtroom <br />APPLICATION FOR ATER RIGHTS (SURFACE) <br /> <br />3. Legal description or each point of diversion: (include distance and bearing from established government sectlon corner or <br />quarter comer; or distances from section lines, end Indicate Y. X,-1s-action number, township, range/land meridian; InWude, ~ I <br />map) ~ y ~+~ /2 !~=-r7Ci-L~C.t~7 fl s 7\GUrz~=2 'c1 w <br />~ w ~,~ <br />~ Div ~~a ~~,~~ ~ <br />4. Source: (tributary and river) ~-~1~~2 /,'~: 6~.~ (I? P_Q. <br />5. A. Date of ini[latan o} appropriation: <br />B. How appropriation was initiated: <br />C O ~/'L <br />C. Date water applied to beneficial use: _ _ _____._`___- ------- <br />6. Amount Gaimad:.2.~~,.~..'/~., ; ~ ~, ~1. __ cis ^ Absdute Q~ Conditional <br />~j~- <br />JOF 196W RMOO APPLICATION FOR WATER RIGHTS (SURFACE) Page 1 of 2 <br />2. Name of str4cture: (tl8ch, spring) _fl" ~'+(~_~ //r' "-f~ • C?i-' ??'' /l.l ~ N f ~'~1-n c~__. <br />