raised, and also acres of summer grazing land, and acres of 



(Number.) (Number.) 



winter grazing land, located in the counties of 





4. I now actually own head of and 



(Number.) (Kind of stock.) (Number.) 



head of 



(Kind of stock.) 



5. My are ranged, during the winter season, on 



(Kind or kinds of stock.) 



(Give township, range, and section, if range is owned or leased by applicant. If on public range, so state.) 



(If stock is fed, give location of ranch and amount of hay used.) 



6. I have regularly used range now in the National Forest 



during the past : years and grazed head of 



(Number.) (Number.) (Kind of stock.) 



and head of on said Forest during the past season, 



(Number.) (Kind of stock.) 



from to 



(Date.) (Date.) 



7. I have not made application for a grazing permit in any other National Forest, 

 except as follows: 



If this application is granted, in whole or in part, I do hereby agree to deposit the 

 amount due for grazing fees to the credit of the Treasurer of the United States in the 

 U. S. Depository designated by the letter of transmittal. 



I also hereby bind myself and my employees engaged in caring for the animals 

 while on the Forest to extinguish all camp fires started by myself or any of my em- 

 ployees before leaving the vicinity thereof, and to render all reasonable aid in extin- 

 guishing forest fires within the district in which the stock is grazed, such service to 

 be without compensation if required to protect the grazing area allotted to me and 

 described in my grazing permit, but at the prevailing rate of compensation if other- 

 wise. 



I also hereby agree that I will allow my stock to graze only upon lands of the United 

 States within the areas specified in the permit, that I will obey and support all the 

 laws and regulations governing National Forests, and that I will pay for all damage 

 sustained by the United States through any violation, by myself or my employees, 

 of such laws or regulations, or of the terms hereof or of the permit issued upon this 

 application. 



I also agree to forfeit the permit whenever the National Forest for any reason ceases 

 to exist, or for a violation of the National Forest regulations now or hereafter adopted 

 or of any of the terms hereof, or of the terms of the permit issued hereupon, or when- 

 ever any injury is being done to the Forest by reason of the presence of the animals 

 therein. 



Approved , 191 , 



(Date of approval.) 



(Signature of applicant.) 



for cattle, horses, 



(Number.) (Number.) 



'(Number.) (Post-office address.) 



(Signature of Forest officer.) 

 (Title.) 



83 



