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NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed or <br /> as supplemental information to this NOI. GPS measurements will be acceptable for this <br /> purpose: <br /> 827073E.4213166N. UTM NAD 83(See attached maps) <br /> Lat: X: <br /> Long: Y: <br /> 6. LAND OWNERSHIP: <br /> Private Public Domain(BLM) D 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 <br /> completed,otherwise go to section II Maps&Drawings <br /> 7. PROSPECTING ON BUREAU OF LAND MANAGEMENT(BLM)LAND AND U.S.FOREST <br /> SERVICE(USFS)LAND <br /> The Division and the BLM/USFS have entered into cooperative agreements that eliminate <br /> the need for a prospector to post a financial warranty with each agency and allow them <br /> to coordinate the review of the NOI in order to minimize administrative processing time <br /> and effort. <br /> A. CLAIMANT: <br /> Name LKA International, Inc. <br /> 3724 47th Street Ct NW <br /> Address <br /> City,State,Zip Gig Harbor, WA 98335 <br /> &M ) 514-6661 <br /> Telephone <br /> Fax <br /> Form 1-DRMS Use and Confidential File Page 3 of 14 <br />