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R Resources Management Authority APPLICATION FOR WATER PERMIT Type of Water Use Tick Box Attach Form (To be submitted in triplicate) Groundwater Surface Water Diversion Abstraction In-stream Works Storage Shallow well Borehole 1B 1B 1B 1C 1D 1D (Rules 23,24,71,72) Effluent Swamp Discharge Drainage PARTICULARS OF APPLICANT Full name of applicant(s) (In Block Letters) Category of Applicant - Individual, Group Association, Society , Company, Institution 3. ID Number of Applicant (In.

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