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2 (Torin i - All information for DRMS use and confidential filing) <br />T(JWNSHIP (write nut"ser and check direction) `I' <br />R,A,.\(3t: (NvTite number and check direction') <br />QUARTER SECTION (check afire): ??tE <br />Q{_3ARTF,R:`QUARI'ER SECTION (check one): <br />G , ERAL DESCRIPTION: (the nurnher of miles <br />'north South <br />R East West <br />\Tw s F S W <br />'NL .........----NW _Sh SW <br />ind direction to the nearest town and the approximate eleNation") <br />NOTE. Supply longitude and latitude or 17111vt coordinates if lands have not been surveyed or as supplemental information to <br />this NOL GPS measurements will be acceptable for this purpose:_,,,,__ <br />6. LA.Ni D_OWNERSHIP NO CHANGE <br />Private Public Domain (BLAIJ ?rational Forest (U*SFS') <br />? - <br />State w_ State Sovereign Land,, .......-.Other (please describe): <br />If prospecting is located on BLM or USFS land the remaining section must he completed, <br />other-wise go to section II Maps & Drawings <br />7. PRIOSPECTIN( ON BURI ATI OF LAND MANAG Ni ll"NT BLIN-1 LAND AND U.S. FOREST SERVICE USFS <br />LA-NI, D <br />The Division and the BLM/UShS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />Imancial warranty with each agency and allow them to coordinate the review of the 1xOI in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: NO CHANGE <br />N acne: <br />1lddress: <br />`Yeltmhone: <br />1-'ax ` f;titbcr: <br />SF_`I F `t I AILNt l' _t't)K '1A i IC3 : NO CHANGE <br />Fist oam s, serial i?ld Provildc lcgaj d-sc.rrution to neamst <ltr3ltCr-CIYI?ttC S?CLi3#S of .al; alter or clal-rn? attach <br />addktioual page, if <br />IFL'ii'?? iF4 ). <br />F SERIA.L :xlt;;MBER 1.,13{iAL DESC'RIP'TION <br />•