I.—4a.

39

SCHEDULE.

[Signature of applicant, etc.] Precise time, &c. [as in Form No. 78.]

Form 81 (Beg. 28). Application for License for Tail-race [or Main Tail-race.] [As in Form No. 80, with all necessary modifications, including Schedule as follows.]

Form 82 (Beg. 28). Application for License for a Dam. [As in Form No. 80, tvith all necessary modifications, including the following Schedule.]

SCHEDULE.

Form 83 (Eeg. 28). Application for License for Eesidence-site [or Specified Business Site] . [As in Form No. 80, with all necessary modifications, including Schedule as follows.]

SCHEDULE.

Form 84 (Eeg. 28). Application for License for Special Site. To the Warden of the Mining District, at Pursuant to " The Mining Act, 1898," the undersigned [Full name, occupation, and residence], hereby applies for a license for a special site, as specified in the Schedule hereto, in respect of the land therein specified, which has been duly marked out for the purpose. Address for service: Date and number of miner's right: Dated this day of , 1

SCHEDULE.

[Signature of applicant, etc.] Precise time, &c. [as in Form No. 78.] Form 85 (Eeg. 28). Application to surrender Mining Privilege absolutely. To the Warden of the Mining District, at Pursuant to " The Mining Act, 1898," the undersigned [Full name, occupation, and residence], being the holder of the mining privileges specified in the Schedule hereto, hereby applies to surrender the same absolutely, and not for the purpose of exchange. Dated this day of , 1 .

THE SCHEDULE ABOVE REFERRED TO.

The address for service is : [Signature of applicant, etc.] Precise time, &c.

Form 86 (Eeg. 28). Application to surrender Mining Privileges for Purposes of Exchange for Title under "The Mining Act, 1898." To the Warden of the Mining District, at Pursuant to "The Mining Act, 1898," the undersigned [Full name, occupation, and residence], being the holder of the mining privileges specified in the Schedule hereto, hereby applies to surrender the same, and to obtain in substitution therefor licenses for corresponding mining privileges under that Act. The address for service is : Dated this day of , 1

Locality of the Race, and of its Starting and Terminal Points. Length and Intended Course of Race. a © © rrt © © © Op a.q-i 2° Estimated Time and Cost of Construction. 3,-B .8 s P ? © r o 3 a fH 0 © © -P-g ■5.3 © all a ©r^j Purpose for which Water is to be used.

Locality of the Race, and of its Starting and Terminal Points. Proposed Term of License. Length and Intended Course of Race. Its Greatest Depth and Width. Estimated Time and Cost of Construction.

Locality of Dam. Proposed Term of License. Particulars of Dam. Purpose for which Dam is to be used. Length of dam wall : Greatest height of same : Breadth of same at base : Length and width of waterarea : Estimated time and cost of construction:

Locality where Land is situate, and its Area. Proposed Term of License. Remarks.

Locality where Special Site is situate, and its Area. Proposed Term of License. Purnose for Claim in conb ,,,'rt Special Site is to usea ' be used. t

Name of Privilege. %«*2$g Existing Instru- Whether ments of Title, Instruments with Dates and are produced Numbers. or not.