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.) 



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 pay 

 to the National Bank of (U. S. Deposi- 

 tory), or such other depository or officers as shall hereafter be duly designated by the 

 United States, to be placed to the credit of the Treasurer of the United States, the 

 amount due for grazing fees for a period of five years annually in advance at the regular 

 rate fixed each year for the said National Forest on the full number of animals for which 

 my application is approved, and to use the range each year unless the Forest Supervisor 

 agrees that it should be given a rest. 



I also agree that the annual permits issued to me shall not be transferable, but it is 

 agreed that if the stock is sold a permit may be issued to the purchaser allowing him 

 to continue grazing it on the National Forest range until the expiration of the annual 

 period for which the fees have been paid. 



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 

 employees before leaving the vicinity thereof, and to render all reasonable aid in 

 extinguishing forest fires within the district in which the stock is grazed. 



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 appli- 

 cation. 



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.) 







(Post-office address.) 



sheep. 



(Number.) 



(Signature of Forest officer.) 

 (Title.) 



85 



