0280Application
Permit
License____..
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STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORK
DIVISION OF WATER RESOURCES
STATE • ENGINEER
SACRAMENTO 5
Applicant_
Mapped by
/ frail .�
1 bd_ c � P
1, , d3 j 440,4 4.41. l a3
1 Xo3y ,,.c r.-+ f re>,Iv
Sec. Township Range , Meridian
Count
NOTE.—Maps are to be drawn on this plat only when total amount of water to be diverted does not exceed three cubic feet per second for direct
diversion or two hundred acre-feet per annum for storage.
FORM 17-A
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