Laserfiche WebLink
I~ <br />~~ <br />i 1 <br /> <br /> <br />1 <br />1 <br /> <br /> <br /> <br />1 <br /> <br />J <br />1 <br />1 <br />NOTICE <br />The Privacy Act of 197A and the regulation in -03 CFI: 2.d 8(d) <br />provide Ihal }rou be fv wished the (ollaxvng inform al ion in <br />ronnettion xvth inform al ion required by ILis npplit alion. <br />AUTHORITY: 30 U.S.C. 601, 602; d3 U.S.C. 120 i; 60 51 a1. 767 <br />PRINCIPgL PUft POSE - The inform alion is l0 6c used to <br />profess your applinlion fora Frcc Usc Perm il. <br />ROUTINE USES: <br />(1) 'fbc adjudic alion of the :ry~plicuV S' rigbls lu Ilm land <br />or resources. <br />(2) Document alion (or public inform an on m suppod of no- <br />lalions made on land status records for the man age mein, <br />disposal, and use of public lands and resources. <br />(3) Transfer to appropriate Federal agencies when concur- <br />rence is reyuired prior to granting a right in public <br />lands or resources. <br />(J) Transfer to the U.S Dcpatl mein of Justice in the event <br />of litigation involving the records or the subf ect matter <br />of the records. <br />(5) Tra nsfcq in the event Ihcre is ind mated a v~olal ion or <br />pocem ial violation of a statute. regulation, rule. order <br />or license, whether civil, criminal or regulatory in nm tire, <br />to the app mpri ale agency or agencies, whether Federal, <br />$I ate, local or fineig n, charged with the responsrbiLly <br />of investig:,lion or prosecuting such violation or charged <br />wish enforcing ar imple menlmg the sl al ul e, rule, regu- <br />lalian, ord cr or license violated or pole nliallp vial tiled. <br />EFFECT OF NOT PROVIDING INFORMq TiON - I( you do nal <br />furnish all the inform al ion required by' Ihis form,your application <br />may be rejected. <br /> <br />