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2 <br />TOWNSHIP (write number and check direction) T--?- North South .5 <br />RANGE (write number and check direction) R 7 `i East West <br />QUARTER SECTION (check one): NE NW SE _?/SW <br />QUARTER/QUARTER SECTION(check one): NE ----NW 1.?°? SE _ _ SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />A i - i <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed, or as supplemental information to <br />this NOl. GPS measurements will be acceptable for this purpose _U_TA 'ctjt; Cal?y? <br />U665 77 7 -1 ?-er? nf?r <br />, j q" o <br />6. LAND OWNERSHIP <br />Private Public Domain (BLM) National Forest (USFS) V <br />State _ State Sovereign Lands Other (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must be completed, <br />otherwise go to section II Maps & Drawings <br />7. PROSPECTING ON BUREAU OF LAND MANAGEMENT BLM LAND AND U.S. FOREST SERVICE USFS <br />LAND <br />The Division and the BLM/USFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />financial warranty with each agency and allows them to coordinate the review of the NOI in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: I <br />Name: <br />yn <br />Address: C' 2.7 - I r") 6- <br />Telephone: 71 q - ag 3 -?o ??3 - W-- - <br />----?__ .................-_...---- <br />Fax Number:- <br />B. SITE/CLAL'M INFORMATION: <br />List names, serial numbers and provide legal description to nearest quarter-quarter section of all sites or claims (attach <br />additional page, if necessary). <br />NAME <br /> <br />SERIAL NUMBER <br />RIM- . a7 Z 307 P <br />LEGAL DESCRIPTION <br />??-©ulO?ii -i S r?c SV+?jS