FOREST RESERVE MANUAL. 67 



REPORT ON AGRICULTURAL CLAIM, SETTLEMENT, OR CATTLE 

 AND SHEEP RANCH. 



■ Reserve, 



Dated the day of , 190—. 



1. Name and" address of claimant: . 



2. Married or single: . 



3. Location of land (add a sketch map, if necessary) : 



4. Land is held as (patent, agricultural claim, placer claim, mere squat- 

 ter): . 



o. When settled on by present occupant: . 



6. When filed on: . 



7. Is it the actual and only residence of claimant? 



If he is the head of a family, is their actual residence on the land or 



elsewhere? . 



9. What improvements: . 



House made of ; approximate size, ; r 



Barn of ; approximate size, by . 



Acres under plow: . 



Acres under ditch: . 



Acres under fence: . 



10. Claimant raises mostly: ; and raised the past season: 



11. Character of land claimed: . 



(a) What proportion is timbered? . 



(6) Kinds and quality, and approximate stand of timber: 

 (c) What proportion is open ground without timber? 



(d) Was the field or cultivated land cleared or was it open 



park? . 



(e) What proportion of claim is tillable? . 



(/) Does the land need irrigation? . 



12. Is this a stock ranch? . 



13. How many head of — 



(a) Cattle: . 



(6) Horses: . 



(c) Sheep: . 



(d) Goats: . 



belong with this farm or claim? . 



14. Where are they grazed? . 



15. Has permit been obtained for them to graze on public land? 



16. Has claimant sold or negotiated for the sale of any timber? 



17. Additional information in the knowledge of forest officer: - 



18. If the claim or entry is believed to have been made at the instance 

 or in the interest of any others, or believed to be in any way fraudu- 

 lent, give name, residence, and post-ofiice address of reliable witnesses, 

 and abstract of their testimony: 



19. When and by whom examined: 



20. Recommendation as to action that should be taken: 



Signed: 



Ranger. 

 Supervisor. 



