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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 NOL GPS measurements will be acceptable for this <br /> purpose: <br /> Lat: X: <br /> Long: Y: <br /> 6. LAND OWNERSHIP: <br /> ❑ Private ❑ Public Domain (BLM) ❑ National Forest (USFS) <br /> 1-01 State ❑ State Sovereign Lands ❑ Other (please describe) <br /> If prospecting is located on BLM or USFS land the remaining section must be <br /> c mpleted, otherwise go to section II Maps& Drawings <br /> 7. PROSPECTING ON BUREAU OF LAND MANAGEMENT (BLM) LAND AND U.S. FOREST <br /> SERVICE (USES) LAND <br /> The Division and the BLM j CJSFS have entered into cooperative agreements that eliminate <br /> the need foi 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 /> Nance <br /> Address <br /> City, State, Zip <br /> Telephone <br /> Fax <br /> Form 2 Public f ik Page 3 ol`14 <br />