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M ~ :1. )a <br />CC?Q'%DO DIVI~t::iJ CF t:lRiE~ RE~CURCES <br />rrr[ n, ]~~ Cetvmbinr pl; '. <br />,el•rt ~n p~,.Sr_nt e r 13•~ SLPmen S1. <br />. CDe• 0• •u t~ r:7 Dan+vr, Col,•oda EJl03 <br />w vsauut STATE 0/ COLORADO 1 <br />• Si <br />i0"tITY CF ~,~__ ___^-_ 1 <br /> <br /> <br /> <br /> <br /> <br />f.'~ :'1 :~ i) : .'.:. ..1 <br /> <br /> <br /> <br />. <br />r ' ~ a ~ <br />_ <br />__. STATE~:tE1JT OF BEt{EFICiAL USE OF Gn0U7+O>•+ATER <br />..~ A!a'cND~~i.:1T 07 Ex15Tr:+G P.EGCRO <br />LATE R~GISS RATIOtI n9q~~ //?ic~ ~ ` • ` • <br />PERU{T NUwBER ~F41s!rSS~ LOCnT~.^•I n~ MFl l <br />THE AFFtnNT 5! ._._J~~ N _6'^cca ___ r..-•. Ins Ar.;-rs:.-_ -- - --- <br />whos. Tmhn <br />oddreta rt 9 .''.~0 Ia:~J III71: -_ J 3_ h.r .. __.y:._. y 1i <br />Cny -------?~=a_ton, T,~~ TT001 ---- '-• -33 - s ~•, .E_`~ _ 'i <... ,. <br />be:nq !uly warn upcn oath, deco tes aed seya •har he hhey) ~s (pre) tha o•.n e/sl of the •rr;l dra<r~h ei h-•.--, r••r ,. <br />Ixored of des<rbed cbove, of drttoncet of ,_~ feet Iron thr _ ___ aru•on I~ne and __! %re• r•-- •~~- <br />t<cnan I•ne, corer Iron ihrt re(1 cos I:nr wplied to o benefrc col use lo. the purpo sr(st deru:Sr; F:•,r:n on •-- :;~ <br />r <br />day of SJC=• 19.~b_, ehr manmua tuttoined pumping re4 of the .efl it _+7 gaacns pn r::•~r!e, the e~,rc~-g <br />core cle~med hereby n , <~7 gellens Der minute; the total death of the .ell is ?~{ee t, thr o+e•v7e enm~ol rc.'• <br />of rate. to be diverted a 17~ acre~(eer ro. +hrch cle~m is hereby made {a II'Si~ `•1^'i~ d-^^~`1^_~T _e?~_- <br />fi51. 6:'rZ W1.1f111SC Dur po se(sl; .he Ieqel detcr,ption of the {md er. rh~ch the +oter Iro.-r tl.:t .:etl a ,.-~ <br />pF rc. ,~ <br />oeres ers irr:gatad end which is illustrated at the tnep on the rerr!rse side of ttiis f;r.,; t=ot this we'1 •r:s c:^c!e'a: <br />comp!ioneo wieh the prrmit oppro•rd thvrekr, rhia statement of Erne{iciol use e( grcund rater :e !ilyd ~n ro-rl! ^.r_e rPoh !e~.•, -e <br />Itheyl has (ho+el read the srurrmants mods hereon: kruws tF.e car rant thsrraf; end that ttif see cre true of his (~`. eirl 4r.a+l e; --. <br />(CC`.+PLETE REVERSE 510E OP THtS f0~ts1 <br />$~gncturel s) <br />Subtc.ibed cnd sro•n <br />ro brlore ar on mn dry e( 19 _ <br />t+y CDTmrtt~an ltprre t' <br />nCtFPTEO fC? F!_!::G 8~' TH=_ STATE [uGInEEk OF CCLn^.•Ca <br />PU?SUAr+i Tp TI;E FOLLC~+:I`+000tI01TtOt:i~ <br />~~f <br />I <br />r ~ _ _ <br />I <br />.c.•• r.w Na <br />rr.V •r~ ~. ._ •. <br />7 <br />~ 1 <br />n •~ - <br />_ . ..a-.. --._._.. <br />i <br />