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OFFICE OF THE STATE ENGINEER
COLORADO DIVISION OF WATER RESOURCESForm No.GAS 25818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203
303 866 3581LICWELL PERMIT NUMBER
DIV. 2APPLICANT
Lot:WD
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The office of form state is a form that must be filed to provide important information about a business entity's operational and financial status to the state government.
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