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I HEREBY AGREE TO COMPLY WITH the regulations at 43 CFR Part 3600 and the stipulations and special conditions as set forth in this permit. <br /> I CERTIFY that the:(a)materials to be removed will be used for the authorized purpose noted above; (b)none of the materials removed will be <br /> sold or bartered;(c)removal of materials will begin only upon receipt of an approved copy of this permit and will cease upon the expiration date <br /> or removal of the authorized quantity,whichever comes first;and.(d)the Bureau of Land Management(BLM)will be notified upon completion <br /> of removal. tt <br /> l 9- <br /> (Signature of Applicant) { ale) <br /> THE UNITED ST TES OF AMERICA <br /> By r r - mffi�- r (Signature) W'+!t a� M It�s (Printed Naine) <br /> FGl8 t`�lonac CX t n (Title) 3`�~�-�1� (Date) <br /> Krelv+m k n -i e4 A Office— (BLAI office) <br /> (Form 3604-1 b) <br />