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Get GSA Form 1583 1998-2021

Use the property described below for the purpose designated, subject to the conditions, special and general, herein prescribed. 2. NAME OF PERMITTEE AGENCY 4. PROJECT DESIGNATION AND ADDRESS 3. LOCAL REPRESENTATIVE (Name and address) 5. MAXIMUM PERIOD COVERED A. FROM B. TO 6. DESCRIPTION OF PROPERTY AFFECTED (As shown on Exhibit , attached hereto and made a part hereof.) 7. PURPOSE OF PERMIT 8. By the acceptance of this permit, the Permittee agrees to abide and be bound by the following.

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