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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 /> Lat: r 10 to L2 ,��o ( -��ALIA : <br /> Long: 33 59, 3' ' i Y: <br /> 6. LAND OWNERSHIP: <br /> Private Public Domain (BLM) 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: ''np <br /> Name �e-ran'(1 �� k���� V�� G,41 <br /> Address ) a 2. Rd, P, 0 ,BOX ( 6 <br /> City, State, Zip `--C'aCV'I t t>? Q b 601' <br /> Telephone `'7 (9 ) 2,93 - <br /> Fax <br /> Form 2—Public File Page 3 of 14 <br />