Form 298 



(Revised March 18, 1911) 



UNITED STATES DEPARTMENT OF AGRICULTURE 

 FOREST SERVICE 



APPLICATION FOR GRAZING PERMIT, FIVE-YEAR PERIOD 



No. 



(Date.) 



of 



(Place of residence.) 



do hereby make application for permit to graze head of cattle, 



(Number.) (Number.) 



head of horses, head of sheep, and '... head of 



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



upon lands of the United States within the National Forest, 



from to , for a period of five years, begin- 

 ning , 191 . . , and also the privilege of 



(Lambing specified number of ewes included in aforesaid sheep, or other additional privilege.) 

 My marks and brands are as follows: Brands 



Earmark 



(Right.) (Left.) 



It is my desire to graze the said animals upon that part of the Forest described as 

 follows: 



Provided, That they shall not intrude upon any areas upon which grazing is prohibited . 



I do hereby certify that 

 1. This application is made for my own exclusive use and benefit, and not directly 

 or indirectly for the use of any other person. 



2. My home ranch is located in 



(Give location by township, range, or section, if surveyed.) 



3. I own acres of improved farming land upon which hay or grain 



(Number.) 



NOTE. Animals under six months old at the time of entry which are the natural increase of stock grazed 

 under permit will not be counted. 



84 



(OVER.) 



