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QQU L , ' c.LL JYt\L.ilvls SIA'MLVLZIT <br /> Kenneth E . & 011ie Sue Bounds state asfoLrws: <br /> ' I(we) own real property described as Bounds pit tr, <br /> the Sw 114.of the SW 1/4,Secdon 7 Township 1 South Range 2 East <br /> ' Ute P.M., Mesa Counry, Color-ado. Located on out property are the following <br /> Weil Premit Nos - 33511 -F <br /> 37596-F <br /> (USE�PEFihil"T:il+�•""' h3QvG,"rti7 <br /> ' I(we) bave been apprised that Clifton Water District <br /> present owners of a parcel of land in the SW 1/4 of the Std 1/4, Sec-don <br /> 'Township 1 South Range 2 East I Ute P.M., desize to drill 2 <br /> well or the extend the use of an exisc-ng well I(we) also understand that the purpose of such wL s_,. <br /> forth in the well permit appGcadon, and that I(we) have renewed the application tint was <br /> 'submitted to the State Engineer and receipted by him under receipt no. 411496 <br /> 'The proposed location for the subject well wM be less than 600 feet from one or more of my(ouz) ,•e! <br /> ,By this statement I (we) are specifically waiving any objection to the issuance of a well perutit <br /> subject well, as set forth in the referenced application, and would request rh i permit issuance r.cc be <br /> 'postponed or denied because of aav concerns by the Division or others that the proposed w__ <br /> materially affect my(our) well(s) or water rig'nt(s). Uwe) a.so specifically waive any right (T)we rr.2 . 7.a - <br /> to participate in a hearing before the State Engineer pu_suantto Section 37.9C-137(2), CP-S. <br /> 1 - <br /> r <br /> Dated this day of Su ry r 19 r� <br /> 7�91 <br /> w <br />