Laserfiche WebLink
A. Type of Transaction: <br />8 Lease ❑ Sub-Lease <br />Duration of lease: <br />from Jan 1, 2014 <br />Bart Trasferinformation <br />to December 31, 2014 <br />8 For leases with a term of one year or less, check here if you would like this application to serve as the memorandum of tease required <br />under § 711.330 of the EAA rules. If not, please attach a separate memorandum of lease or the executed lease agreement. <br />Please note, a copy of the recorded lease agreement or recorded memorandum of lease containing the official county clerk <br />document stamp Is required for leases with a term greater than one year. <br />C. Type of Transfer (check all applicable): <br />8 Right to Withdraw 11 Change of Point of Withdrawal <br />8 Change of Purpose of Use 11 Change of Place of Use <br />D. Total Transfer Amount: 885 Acre -Feet Near <br />If Irrigation, please specify amount being transferred as follows: <br />Acre- Feet/Year of "Base Irrigation Groundwater' withdrawal rights <br />Acre- Feet/Year of 'Unrestricted Irrigation Groundwater" withdrawal rights <br />E. Transfer Price: $ /acre-foot (optional) <br />F. Notes to staff regarding this transfer: <br />iV � Certification <br />❑ Addition of Point of Wtihdrawal <br />❑ Other <br />Transferor's Certification: ***NOTE: DO NOT SIGN ON THIS PAGE - SIGNATURE PAGES FOLLOW[ I <br />I hereby certify that the information given herein this application Is true and accurate to the best of my knowledge and belief. <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Printed Name of Transferor or Agent <br />STATE OF TEXAS <br />COUNTY OF <br />Subscribed and sworn before me this <br />Signature of Transferor or Agent <br />day of 120 <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Notary Public's Signature <br />Date Commission Expires: <br />Transferee's Certification: <br />I hereby certify that the Information given herein this application is true and <br />c lift XXXXjXX XXXX;XXI X. <br />XXXXXXX XXXXXXXXXXXXX) <br />Printed Name of Transferee or Agent <br />STATE OF TEXAS <br />COUNTY OF <br />XXXXXXXXXXXXXXXXXXXXXXXXXXXX <br />Signature of Transferee or Agent <br />Subscribed and swom before me this day of 120 <br />Notary Public`s Signature <br />Date Commission Expire: <br />/lyouneed assistance, please contact the Permhs Team at (210) 222.2204 or (800) 292 -1042 <br />ReowaMMIZ <br />