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Get State Of California --- The Resources Agency DEPARTMENT OF PARKS AND RECREATION Primary # HRI #

Reviewer Date *Resource Name or #: (Assigned by recorder) Other Identifier: Location: Not for Publication Unrestricted and (P2c, P2e, and P2b or P2d. Attach a Location Map as necessary.) *a. County *b. USGS 7.5' Quad Date T c. Address ;R ; of City of Sec ; B.M. Zip d. UTM: (Give more than one for large and/or linear resources) Zone , mE/ mN e. Other Locational Data: (e.g., parcel #, directions to resource, elevation, etc., as appropriate) *P3a. Description: (Describe.

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