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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T? North South <br />RANGE (write number and check direction) R 7,5-_East ___West _ 1/ _ <br />QUARTER SECTION (check one): NE?NW SE SW <br />QUARTER/QUARTER SECTION(check one): NE % N W -SE --SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />NOTE: Supply longitude and latitude or UTM coordinates if lands have not been surveyed, or as supplemental information to <br />1 I - -- <br />this NOI. GPS measurements will be acceptable for this purpose: G U Cr <br />6. ND OWNERSHIP <br />Private Public Domain (BLM) ? National Forest (USFS) y <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 (OLM) LAND AND U.S. FOREST SERVICE {USES) <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 NO[ in order to minimize administrative <br />processing time and effort. <br />A. CLAIMANT: <br />? 1Ge?`'C <br />Name: .--??Ae u 4( <br />Address: tag <br />Telephon< FrD z _"?Z <br />"'Fax Number: c ?r^t 1 ??/ - C <br />B. SITE&LAIM 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 />NAM SERIAL NUMBER LEGAL DESCRIPTION <br />4 Mining Claims: <br />Santiago Lode Mining Claim, U.S. Survey No. 12903 <br />Santiago No. 1 Lode Mining Claim, U.S. Survey No. 15558 <br />Santiago No. 2 Lode Mining Claim, U.S. Survey No. 14825 <br />Santiago No. 3 Lode Mining Claim, U.S. Survey No. 14069