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• ~ t <br />-S- <br />COLORADO WATER LAMS <br />The permittee is encouraged to contact the State Engineer, with regard to the <br />administration of water rights, and the Colorado Department of Health, with regard to <br />the discharge of pollutants into the waters of the State. Violation of Colorado water <br />laws could result in enforcement actions taken by the State Engineer and/or the Colorado <br />Department of Health. <br />ADDITIONAL INFDr2MATI0N <br />This space can oe referenced for further information of any of the items on this form. <br /> <br />To the best of my knowledge, all the information presented in this application is true <br />and correct. <br />Date:_ u T 1 or (°l ~`'( dY: L~.~--_-.C ~ ~-- <br />William C. Thrailkill <br />City Land Surveyor <br />Title Lamar, Coloraro <br />' R.L.S. 1E 11401 <br />(Rev. 9/33) <br />Doc. No. ~54~ <br />