istrict 5 100 Gossett Drive, Suite A Aztec, NM 87410 Phone # District 6 407 Galisteo Street Room 102, Bataan Memorial Building P.O. Box 25102 Santa Fel M1/4 .1 1.102 Phone EFTA00310911 fotnnott5lipintnilrtne311 NEW MEXICO OFFICE OF THE STATE ENGINEER CHANGE OF OWNERSHIP OF 72-12-1 PERMIT FOR (check