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Rug 05 02 09:13a <br /> <br />Q District Court <br />Water Division _ <br />Court Address: <br />Colorado <br />CONCERNING THE APPLICATION FOR WATER RIGHTS OF: <br />Applicant: <br />IN COUNTY, <br />1 COURT USE ONLY <br />If Represented by an Attorney, Attorney's Name and Address: Case Number. <br />P_1 <br />Phone Number. - E-mad: <br />FAX Number. Atty. Reg. Division Courtroom <br />APPLICATION FOR WATER RIGHTS (SURFACE) <br />1. Name, address, telephone number(s) (residence and business) of applicant(s): <br />t ? ? 1 tr. tti y (w? ?Lttt ?.? r- c <br />LA [Aera C l 0410 <br />2. Name of structure: (ditch, spring) - ? rt t!0 T t <br />3. Legal description of each paint of diversion: (include distance and bearing from established government section comer or <br />quarter comer; or distances from section fines, and indicate V. %, section number, township, range and meridian; include <br />map). The location may include UTM coordinates based on Zone 13 and NAD27(CONUS1 datum- in urban artmac <br />include street address, lot, block and subdivision: <br />Required Section Township Ra a Pcincapal Meridian <br />Description: County of ?) 114 N 114 ) n <br />TAGA-cS o N 023 N or n S E or W ?' ?• 13 22 <br />Distance from section tines (section fines are typically not property fines) <br />Feet from 0 N U s and Feet from D E? W <br />Street Address: .p- u Wi 4 l [., <br />Subdivision: Lot Block <br />Optional Additional Description: GPS location information in UTM format <br />Required settings for GPS units are as follows: Format must be UTM: Zone must be 13- Units must hp Uptpm natitm <br />(CONUS and; Units must be set to true north. <br />Were points averaged? Northing Easting <br />? YES ? NO <br />4. Source: (tributary and river) p# tas E <br />970 723 4'761 <br />Sue Petersmann <br />970-723-4761 <br />Submit original plus three copies <br />5. A. Date of initiation of appropriation: t - t - (J-1,