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t...+~ i~ <br />Name of milt iP a oheraotor end oapnoitr_ _. ~:, .._ <br />__--°°-.°_ °°-------------°°--°-----°----1--------------°-~-° ~-°---°- ~-°-----°° <br />_ _ _ _ ___ I K _ _ _„ __ Y_ <br />/ ~~~//! _ <br />, / <br />Character of surface fmprovamanta r' _______ _ <br />/° , <br />~ i~ ~ - <br />----- --------------------- <br />Amount and ohnracter of undor•ground dovelopment_______________________.,________________._____. <br />--- <br />____-°-°_------- --Q ~ - - - <br />-°---------------~~Q L <br />---------------------------------------------------------------------------------------------- <br />:as wn.cursox-e~nYaca, aymt <br />----------------------------------------------------------------- <br />----------------------------------------------------------------- <br />Signed----- ~~~ -----D~- ~~'~- <br />