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~1 <br />• -5- <br />4. I understand that statements 1n the <br />of perjury and that false statements made <br />misdemeanor pursuant to Section 18-8-503, <br />`J <br />application are being made under penalty <br />herein are punishable as a Class 1 <br />C.R.S. <br />Signed and dated this .~.~ day of cz_. / 99~. <br />City of Colorado Springs <br />Applicant/Operator <br />By: Edward W. Bailey <br />Title: Water De artment Director <br />State ) <br />ss. <br />• County of - ) <br />T eg i ng i~~%% ~t~~ru~~ment was <br />b ~~C-~O~fZ/ <br />If Corporation Attest (Seal) <br />Corporate Secretary or Equivalent <br />Town/City/County Clerk <br />edged r me <br />~~ <br />Notary PubYic <br />My Cortmission Expires• '.i,~ <br />'=~. <br />(08/91) 2823E <br /> <br />