Form 763 



(Revised March 18, 1911) 



UNITED STATES DEPARTMENT OF AGRICULTURE 



FOREST SERVICE 



WAIVER OF GRAZING PRIVILEGE 



THIS MEMORANDUM witnesseth that: 



WHEREAS the undersigned, , under date 



of , received from the United States Depart- 

 ment of Agriculture, Forest Service, a permit to graze head 



of upon the National Forest; and 



WHEREAS such permit is understood to carry with it, in the discretion of the Forester, 

 subject to necessary reduction, and upon the request of the permittee, a continuation 

 of such privilege from year to year; and 



WHEREAS the said undersigned, , has sold 



to , of 



head of ; and 



Now, THEREFORE, the undersigned, 



does hereby surrender unto the United States all privileges whatsoever allowed under 

 the aforesaid permit and any such further continuance of the privileges thereunder 

 as may be carried by the issuance of the said permit; and further, the said undersigned, 



, does stipulate that will not 



at any future time apply for a renewal of the said permit as to the head 



of sold as aforesaid. 



Executed this day of , 191. . 



Witness: 



91 



