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This application/offer/lease is for Check Only One PUBLIC DOMAIN LANDS ACQUIRED LANDS percent U*S* interest Surface managing agency if other than Bureau of Land Management BLM Unit/Project Sale Date mm/dd/yyyy Legal description of land requested Parcel No* See Item 2 in Instructions below prior to completing Parcel Number and Sale Date. T. R* Meridian State County Total acres applied for Rental fee Amount remitted Filing fee Total DO NOT WRITE BELOW THIS LINE 3. Land included in lease Total ac ...

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