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STATE OF COLORADO <br /> .%PPLICATION FOR: A PERMIT TO USE GROUND WATER LM <br /> @A PERMIT TO CONSTRUCT A WELL [APR 2 9 :304 <br /> SEC <br /> LOCATION OF WEI��01 <br /> County .­j u -0- <br /> -'Iddress <br /> Q'I'l"AR;,' applied _Tor __ gpm of �C-! of Sect. <br /> or 4 1 Wp. <br /> J; (I AF Storage Rge. P. M. 0 R <br /> Purposes <br /> 4- <br /> oil/at <br /> 0 <br /> ��G) Street Address o,r Lot)& Block No. <br /> (legal description 'of land site) <br /> o Town or Subdivision ,) <br /> A CdLl acreage ji,H,gated and other rts. <br /> J;;STI III ATE'[) DATA OF WELL N <br /> liolo size:_j"_jf in. to --i-( ;ft. <br /> to <br /> to >'ft. bj)u <br /> from c <br /> 0 Locate <br /> �_l ;.-4 <br /> in. from toft. C) I well in <br /> Ji)cil or Perf. in. from ,,,"�/--to ;:, c:,! ft. <br /> U) 40 acre <br /> --in. from-to-ft. W E (small) <br /> , <br /> Outlet = square <br /> ' \T,',,: ITP .Size �1Cj <br /> 0 as near <br /> illHi;lfion dAh, as possible. <br /> Large square <br /> )UPI)l 01-n ell tal pn,,,es for additional data) <br /> ;-4 is one section. <br /> S <br /> $25. 00 fee required for uses other <br /> TIJIS APPLICATION APPROVED than Domestic or Livestock. <br /> Pl­!;111�41T NO. <br /> 5 Applicant G <br /> Agent or , <br /> D/11T E P" 2 9 19G/1 19 Driller * <br /> 411 <br /> Address ,7_1' 6-C <br /> SATISFACTORY COMPLETION REQUIRED FOR APPROVAL OF APPLICATION <br />