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Rug 05 ©2 Qa8r 13a Stye Peter-smarm S7G-7Z3-4791 p-2 <br />art MOng Plus ffireal cotes <br />B. How appropration was initiated: 0 W t. r e ?w.ta Ito <br />C. Date water applied to beneficial use: <br />s. Amount claimed: L2sS f a.u S i-Adoas cfs GI Absolute ? Conditional <br />7. Use or proposed use: ?j ?ojg p e,0 . <br />A If irrigation, complete the following <br />Number of acres historically irrigated proposed to be irrigated <br />Legal description of acreage: <br />kv. lobo '?x 7. / ?a-" <br />B. If non4rrigation, describe purpose fully. <br />8. Name(s) and address(es) of owner(s) upon which any structure is or will be located, upon which water is or will be stored, <br />or upon which water is or will be placed to beneficial use. <br />9. Remarks: <br />?0-00' <br />Signature of Applicant (or Aftomey) <br />Address of Applicant <br />Telephone No. `7 / D - 773- y3 q,6