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Revised 3/2013 APPLICATION FOR A PERMIT TO CONSTRUCT A WATER WELL IN THE LOWER LIBRARY NATURAL RESOURCES DISTRICT 1. Name and address of applicant (landowner): NRL & DNR use only Payment date: Amt:
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Start by carefully reading the instructions provided with the application form. Familiarize yourself with the purpose of the form and the information required to be filled out.
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Sign and date the application form as required. This indicates your agreement to the information provided and certifies the authenticity of your application.
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