SCHOOL OF FORESTRY 



Application To The State School of Forestry, Bottineau, N. Dak. 

 For Forest Trees, Seeds, Cuttings and Seedlings. 



Name of Landowner 



Post Office Address . 

 Express Office Address .... 



Town ...Range Section 



Lot . Block... 



Nature of soil ,..1. 



State of Cultivation . 



I wish to plant the following parcels of land located on the above 

 section or block. (Give as definite a description as possible, of the 

 exact sizes of land to be used for this purpose.) 



I, , do hereby request the North Dakota State 



School of Forestry to supply me the following seeds, cuttings and seed- 

 lings for planting on the above designated land, for the purpose of growing 

 a windbreak- or shelterbelt. 



I agree to set apart the land above designated as a permanent shelter- 



