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<br />§~ <br />_i <br />I <br />.. 6' <br />-_- <br />Charactor and valve of ore_---- -- ------ ------------ <br />Name of mill (if anS), character and capacity------ <br />Character of surface improvements------------ ---- - <br />---------- <br />--- <br />Amount and character of under-ground r)evelopment--------------- <br />plgned____..____________________________.-____-----._-_- <br /> <br />g& <br />plant a <br />and w7 <br />wSth t <br />addres <br />with t. <br />berme <br />shaA k <br />Bi <br />a IDetF <br />fOx lip <br />be nal <br />each ; <br />shall'. <br />NOTE.-Pleere sate report. <br />Ixlre name of esph olt <br />Flli In wreluiy-MEM <br />Flll out blank on eppp <br />BUREAU ~ <br />SI <br />Name of <br />___ev_' <br />I.ocatiox <br />Mining <br />Owner <br />Name <br />Capital <br />Leased <br />Work <br />,...r~..,~....o.oo.,...... <br />Is prc <br />Comn <br />stopp <br />No. EM <br />,Av. <br />