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				  | Application: S 84284   | 
			 
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					 |   | Staff Person Responsible: no caseworker currently assigned | 
				 
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					 |   | Received: 10/6/1999 | 
				 
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					 |   | Signature: 9/28/2001 | 
				 
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 | Completion Date [C Date] | 10/1/2005 |   |   |  | CBU Received | 6/29/2015 |   | KENNA CLAY JORDAN |  | Certificate Issued | 10/12/2018 |   | MARY BJORK |  
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					 |   | Staff Person Responsible: no caseworker currently assigned | 
				 
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					 |   | Signature: 10/12/2018 | 
				 
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					 |   | Type: Original  | 
				 
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				  | Status: Non-Cancelled | 
			 
		 
			
				  | County: Douglas | 
			 
		 
			
				  | Basin: Umpqua | 
			 
		 
			
				  | File Folder Location: Salem | 
			 
		 
	 
                            
 
                         
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					 |   | Description | 
				 
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						 |  |   | T-R-S-QQ: 26.00S-3.00W-10-NE SW | 
					 
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						 |  |   | | Location Description: 2250 FEET NORTH AND 30 FEET WEST FROM S1/4 CORNER, SECTION 10 |  |  
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					 |   | POD Rate | 
				 
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 | 10/3/1999 | 0.005 | 0.005 |   |   |   |   |   | 1/1 | 6/30 |   |  | 10/3/1999 | 0.005 | 0.005 |   |   |   |   |   | 12/1 | 12/31 |   |  
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					 |   | | HUMAN CONSUMPTION (Primary) |  
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 | 10/3/1999 | 0.005 | 0.005 |   |   |   |   |   | 7/1 | 11/30 |   |  
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