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NFL.!1r. CHANGE ONLY REQUEST FOR CHANGE OF 6WNER OHIO DEPARTMENT OF NATURAL RESOURCES DIVISION OF OIL & GAS, FOUND SQ., BLDG. A, COLUMBUS OH 43224 1. Date of Applicant;!.cm: 7/\'1 ×g\';L, I FORM

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Change only is a type of filing that allows for specific modifications to be made on a previously submitted document without having to resubmit the entire document.

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