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CLxrncterandvalneofore_.__ ~________~__ ___ _ _ _____~~."~~,,, <br />v ---------• <br />i <br />Name of mill (if any, cUnrnetor and ca acit • _ i/J~ ~ ~ <br />1 ~ `~ ~l~-'`-<Q'~ _~_ ~ -~~.u~,f~~~i~ -r - - ~ b--4 -~.a~-tom -~u~ - - - ~ ~.~,b <br />-- <br />Chnmeter of surfaco im rovemente __ ~ '~~~ <br />j r"-____'______- <br />~ --__ . <br />_.__._ <br />Amount and charncter of under-ground development _ _ _ _ _ _ _ . _ _ _ <br />---------------------------- <br />I ---•---------------------------~------------------- <br />----•--- <br />---~-- <br />li ------------- ------------------------------------------------------------------ <br />it ----------------------------- ---- <br />------ <br />--- <br />~II --------------------------------------~-------------- <br />-------- <br />------- <br />-------------- G <br />it Signed-------- <br />. ;---'--. - :-• ---- ~'--- <br />I _ <br />