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1 <br />Ohameter and valve of ore _ _ _^~_QZ G/~ ~f/`~ _ _ <br />------ - <br />Nnme of mill (if any, chameter and wpncity _ _ _ _ lI/t_ _v_--z.~t <br />-- ---- <br />~,` - -- - <br />Ohnmeter of enrface improvemen to _ _ _~ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />------------ <br />------------ <br />------------- <br />Amonnt and chameter of nndor•~round docelopment_ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />----- - <br />------------------------ --- <br />----------------------------------------- <br />-------------------------------------------- <br />