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N V APPLICATION FOB PERMIT Serial No. TO APPROPRIATE THE PUBLIC WATERS OF THE STATE OF NEVADA Date of fir s t receipt and filin g in State Engineer's office________ s______ Returned to applicant for correction________ :____________ ___________ :; / Corrected application f i l e d _____ .... The iindfiT>ciignfiri to** t® m $ & aai•and w__________ N a m e o f ap p lica n t of __ ?_____ ________ - ' ? , County of _ ? - ? ? _ ? _ State of.--------- — ----------------------------- --------hereby makeJl_application for permission to appropriate the public waters of the State of Nevada, as hereinafter stated. ( I f applicant is a corporation, give date and place of incorporation.) ifey UNIti «? ______________________ 1. The source of the proposed appropriation is ______ N a m e o f stream , lake, o r o th e r sou rce M m in m ahaapfe________________________ . _______ _ 2. The amount of water applied for is _______________ second-feet. O ne-second-foot equals 40 m in ers' inches 3. The water to be used for pa mad __________________ Ir r ig a tio n , p o w e r, m in in g , m a n u fa ctu rin g , dom estic, o r o th er use 4. The water is to be diverted from its source at the following point: 1 # H ii m x& m &$ s$if of Mm * JH D escrib e as b e in g w ith in a 40-acre su bdivision o f p u b lic su rvey, o r b y cou rse a n d d ista n ce to a section co rn er. I f on u nsurveyed land, i t should b e so stated. mu ill H*,. Hi. HI. iu * Nevada* IF TH E W A T E B IS TO BE USED FOE IRRIGATION, S U PPLY THE FO LLO W ING INFORM ATION: (a) Number of acres to be irrigated is. m x *m (b) Description of land to be irrigated- r* % E f # i t s e e . t i t l i | I f f m @1 m l m e * m t .*§ m Sit « t b e so stated and a d escrip tio n p rovid ed in accordan ce w ith sp ecia l in stru ction -from th e S te te E n e in e e r w h e n a p n U c a t io n iia r e in r n e d .fd r correction , *1 W ' L sa d i t m i i f | . £ £ $ off life QtimaMp *0 H«« ft* 1** simac _______________________________________________________ (c) Use will begin about__ Stkfk* Isaitn d end about___S__o_©_ *___, of each year. M on th M onth IF W A T E B IS TO B E USED FOB POWEB, M IN IN G , STOCK W ATEBING , OB OTHEB USE, SU PPLY THE FO LLO W ING INFORM ATION: 4$ (d) Power to be developed is_________ ,______________horsepower. (e) Works to be located____________________________________________________ G iv e 40-acre su bdivision on w h ich w ork s w ill be located, o r lo ca te b y course and distan ce t o a section -corner. (f ) Point of return of water to stream___________________________________ D escribe in sam e m a n n er as p o in t o f diversion. (g) State number and kinds of animals to be watered. (h) Use w ill begin about__:_______ and end about__________, of each year. M o n th M onth M) H M i ffc* *9?l&Mtft m%*i*<* 0 4 & M of tha wafc#* #xl»t>ihg Is 'artaaiaa • « *&****** mlmm ***4 mot 1® tis# aae of tee w ter flewlss® *» mi.# hereinafter MBbimmd*