bc--.5-( teen-leda.4.5 NAME OF LESSEE/AP LICANT: ,-/ LEASE NUMBER: 0 ADDRESS: y e, 7 47 AOC 0 4 4-4 LA i feCt • . , 7 hn irk A Try i Allilins DESIGNATED CONTACT: .<.; cA• . C Ott dr, o PHONE: ADDRESS: LEGAL DESCRIPTION: SECTION me RANGE COUNTY 5'c . o • -74,4 - -1 F:yk;LI -