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2 (FORM 2 -Public filing) <br /> RANGE(write number and check direction) R70 East West <br /> QUARTER SECTION(check one): NE NW SE SW <br /> QUARTER/QUARTER SECTION(check one): NE NW SE�SW - <br /> GENERAL DESCRIPTION:(the number of miles and direction to the nearest town and the approximate elevation): <br /> i°cPP"�x ;-S' iqi,-gS ey%r'o/ A✓Osfu tai Go A-riVAsex 9360 fwrAft. <br /> NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or as supplemental information to <br /> this NOI. GPS measurements will be acceptable for this purpose: <br /> 380 06' 11 .924" N 1050 09' 22.741" W <br /> 11. LAND O RSHIP <br /> Private Public Domain(BL National Forest(USFS) <br /> State State Sovereign Lands Other(please describe): <br /> If prospecting is located on BLM or USFS land the remaining section must be completed, <br /> otherwise go to section II Maps & Drawings <br /> 12. PROSPECTING ON BUREAU OF LAND MANAGEMENT(BLM)LAND AND U.S.FOREST SERVICE(USFS) <br /> LAND <br /> The Division and the BLM/USFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br /> financial warranty with each agency and allow them to coordinate the review of the NOI in order to minimize administrative <br /> processing time and effort. <br /> G. CLAIMANT: <br /> Name: NA <br /> Address: <br /> Telephone: <br /> Fax Number: <br /> H. SITE/CLAIM INFORMATION: <br /> List names, serial numbers and provide legal description to nearest quarter-quarter section of all sites or claims (attach <br /> additional page,if necessary). <br /> NAME SERIAL NUMBER LEGAL DESCRIPTION <br /> CIA <br />