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2 {Form 2- Public) <br />'I'(~WNSHIP (write number and check direetion)'I'., North._„-_-- __~ South_ _~___ <br />RANGE (write number and cheek direction} R East Nest 7~__ <br />QUARTER S.IsCTION (check ane);_....._..~NF .__- NAY SI3 SW <br />QC,'AR'CEIt/QUAR'T'ER SECTION (check one):----_~'E --- -- --- NW SF., StV <br />GENERAL DESCRIPTION: (the number of miles and direction. to the nearest town and the approximate elevation}: <br />NO'i'E: Supply longitude and latitude or U`I ~Y1 coordinates if lands have not been surveyed or as supplemental information. to <br />this NOT. GPS measurements will be acceptable for this purpose:_ <br />6. LAND OWNERSkI1P <br />:Private -_,,,,--_-_~ Public Domain (BLM) National Forest (USES) __~ <br />State ____ State Sovereign Lands __---____Other (please describe): <br />If prospecting is located on BL,1VI ar USFS land the remaining section must be completed, <br />otherwise go to section II tbiaps & Drawings <br />7 LAND LCTING ON BUREAU OF LAND NIANAG.ElV1)4;1~,rJBLlV1) I.Ai11D AND L'-5.,,,FORES'[' SERVICE (U_SFS) <br />The Division and the I3LM/USFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />tlnancial warranty with each agency and allow them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. C.LA:IiVIANT: <br />C _ I' <br />:Name: _ ~1--- ------ <br />Address:---~.,Q,--~_a~---- -- <br />---------- --------- 5~6--- -~------..._. <br />Telephone: ..--. ----__-- <br />Fax tium.ber: <br />I3. SI:I'EfCLAI.i4'IINIYiJR?11A'TIUNt <br />l:,ist names, serial. nunzbers anal provide lebal description to nearest quarter-quarter section €>f' all sites c>r claims (attaclr <br />ac9ditional page, if necessary}. <br />:\1A;ti'EE StRTr1L= NL1Rt3ER I,ICit1I;1~ESC12IP:I:IO` <br />