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USFS.FRM
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1993-04-03
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48 lines
Appropriate Address for permit application
is listed under district offices
PERMIT APPLICATION
Name of User:__________________________________________
Number in Party:_______________________________________
Mailing Adrs: _________________________________________
_________________________________________
DESIRED CABIN/DESIRED DATES
First Choice___________________________________________
From_____________________ to___________________________
Second Choice__________________________________________
From_____________________ to___________________________
Third Choice___________________________________________
From_____________________ to___________________________
May we substitute another cabin if your choices are
unavailable ( ) Yes ( ) No
MAINTENANCE AGREEMENT
XXX
The permittee herey requests and the Forest Service
agrees to perform cabin maintenance under the Act of
April24, 1950 (16 U.S.C.572), to the limit of deposited
funds.
Signature of applicant:_________________________________
Date__________________Permit No.________________________
Amount enclosed:$_____________for _________nights
Type of payment: Check ( ) Money Order ( )
Collection Officer______________________________________
USDA policy does not permit discrimination because of
race, color, national origin, sex or religion. Any
person who believes he or she has been discriminated
against in any USDA-related activity should write to the
Secretary of Agriculture, Washington, D.C. 20250
THIS IS NOT A PERMIT!!
From Vacation Alaska Southeast & The Inside Passage
VOL I , No. 1, 2nd Quarter Issue 1993