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2 (Form 2- Public) <br />TOWNSHIP (write number and check direction) T_3_ North South <br />RANGE (write number and check direction) R 7 3 East West <br />QUARTER SECTION (check one}: NE X NW SE SW <br />QUARTERIQUARTER SECTION (check one): NE NW SE SW <br />GENERAL DESCRIPTION: (the number of miles and direction to the nearest town and the approximate elevation): <br />2 1/2 Mile from Idaho S -- s Co. 8 400 <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: F i 11 with C 1 r r C E , <br />09/21/2001 11:07 AM (208679) 34-3-73 an <br />G <br />6. LAND W -M <br />Private --- V Public Domain (gam National Forest (USFS) <br />State State Sovereign Lands Other (please desm1m): <br />If prospecting is located on BLM or USFS land the remaining section most be completed, <br />otherwise go to section 11 Maps & Drawings <br />?. PROSPECTING O1?F BUREAU OF LAND MANAGEMENT [SEMI Lr??tn AND U.S. FOREST SERYICR (LISFS) <br />L <br />The Division and the BLM/IJSFS have entered into cooperative agreements that eliminate the need for a prospector to post a <br />financial warranty with each agency and allow them to coordinate the review of the NOI m order to minimize adumustrative <br />processing dine and effort <br />A. CLAIMANT. <br />Name; <br />Address: <br />Telephone: _ <br />Fax Number: <br />8. SITE/CLdt 1 R-OM tHATI N. <br />List names, serial numbers and provide legal description to neatest quarter-quarter section of all sites or claims (attach <br />additional page, if necessary). <br />NAME SERIAL NUMBER LEGAL DESCRII'TIO 1