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Prop osal for Water Lease <br />Name <br /> <br />r! Address !? 14s a'S <br />City drtr?. r ? : G?-? State Ce, zip 00 '2 /4 <br />Telephone 3 ca <br />Quantity of Water Requested: lys __ acre-feet <br />Proposed Unit Price: a `'-lo <br />per acre.-foot <br />Total Price; <br />$ <br />3 c-? s <br /> Prop osed Delivery Schedule <br /> antic in acre-feet Location ofdeliver add type of use <br /> February <br />Jt a <br />i <br /> <br />March ra <br />b AiL <br /> t &*5;ko eteee <br /> <br /> April 1-15 <br />.+.e,. <br />PC <br /> C ' <br />+ <br />' <br /> <br />April 16-30 ? <br />H? r )t ? <br />7 <br /> <br /> May <br /> ja <br /> June <br /> <br /> July <br /> <br /> August <br />i <br />- <br /> September <br /> October <br /> November <br /> December <br />By: <br />(signature of authorized agent) <br />Date: _ 2 - 8 -- is <br />",Q4 -?' _,Q /e C-6 <br />(printed name) <br />(title, if applicable)