Dec. 22.] THE NEW ZEALAND GAZETTE. 1665

SCHEDULE 5 (Reg. 22).

NOTICE TO LICENSEE OR SPECIAL CLAIM GRANTEE.

THE above application will be heard at on the
day of , 18 , at the hour of , and you are
hereby required then and there to appear in answer thereto,
and to produce the [license or grant for the special claim]
above referred to.

Dated at , the day of , 18 .
Warden.

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SCHEDULE 6 (Reg. 29).

NOTICE OF APPLICATION FOR A MINERAL LICENSE.

I [or We], the undersigned, hereby give notice that, after the
lapse of days from the date hereof, I [or we] will leave
with the Warden at an application for a mineral
license, the particulars whereof are hereunder set forth:—

Name in full of applicant or applicants, and style under
which it is intended that the business shall be carried
on:

Full address of each applicant:

Extent of ground applied for:

Minimum number of men to be employed when commencing operations, also subsequently, when in full work:
For the first months, men.
Subsequently when in full work, men.

Amount of money proposed to be invested, £ s. d., and
in what manner the land is to be worked:

Precise locality:

Term for which license is required:

Time of commencing operations:

Whether the boundaries of the land applied for will include any river, creek, or permanent water-spring, or
artificial reservoir:

General remarks:

Signature of applicants:

Nos. of miners’ rights:

Date and place of application:

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SCHEDULE 7 (Reg. 32).

APPLICATION FOR A MINERAL LICENSE.

To the Warden at .

I, , hereby apply for a license of that part of the Crown
lands hereunder mentioned, for the purpose of mining for
the mineral [or metal] hereunder specified, and I declare that
I have duly deposited the sum of pounds, as required
by the Regulations relating to mineral licenses under “The
Mining Act, 1886,” as appears by the receipt left with you
herewith; and I agree, if my application be investigated,
that such sum shall in all respects be held by you subject to
such Regulations.

Dated at , the day of , 18 .
Signature of Applicant.

No. of miner’s right:

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SCHEDULE 8 (Reg. 32).

CERTIFICATE OF RECEIPT OF APPLICATION FOR MINERAL LICENSE.

(No. , as entered in book.)

I HEREBY certify that ha , this day of
18 , at the hour of o’clock, delivered to me an application for a mineral license of the land described in such
application, and ha left with me a receipt for the sum of
pounds, as required by the Regulations relating to
mineral licenses; and that the above number expresses the
order of priority of application in respect of such land.

(Signed) Warden.

Place:
Date: , 18 .

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SCHEDULE 9 (Reg. 34 and 36).

NOTICE TO BE POSTED ON THE LAND BY THE SURVEYOR.

To all Persons whom it may concern.

NOTICE OF APPLICATION FOR A MINERAL LICENSE.

I HEREBY give notice that did, on the day of
, apply to the Warden at for a mineral
license of acres of the land upon which this notice is
posted, which I have marked out with posts painted white;
and the extent of the surface in respect of which, in my
opinion, the license ought to be effectual, both on and below
the surface, I have marked out with posts painted red; and
that any person desiring to object to the issue of said
license must enter his objection within days from
this date, at the office of the Warden. And I further give
notice that the said land is protected from occupation for
any purpose whatsoever, and that any person occupying the
same without having first obtained special authority for that
purpose will be dealt with according to law.

District:
Date:

Surveyor.

NOTE.—For the notice to be posted on the outside of the
Surveyor’s office, and of the post-office, or Warden’s Court,
as required by Regulation 34, omit the words in italics in
the above form, and instead thereof insert “land situated
at,” describing the situation.

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SCHEDULE 10 (Reg. 38).

RECEIPT FOR DEPOSIT OF OBJECTOR WITH WARDEN OR RECEIVER OF GOLD REVENUE.

In the matter of the applications of for a mineral
license under “The Mining Act, 1886,” and of objections
thereto lodged by .

RECEIVED from the under-mentioned parties the sum of five
pounds, pursuant to the Regulations respecting mineral
license under the above-mentioned Act.

Names and addresses of applicants:

Dated .

(Signed) Warden or Receiver of Gold Revenue.

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SCHEDULE 11 (Reg. 49).

AWARD OF COMPENSATION.

In the matter of the application of for a license
under “The Mining Act, 1886,” and of the compensation
to be paid to A.B., of [description and residence].

I, C.D., Warden of the Mining District of , do award
and determine that the amount of compensation to be paid
by , of , to the said A.B. for the building [or
buildings or improvements] erected [or made] by him on
the land occupied by him for the purpose of residence,
included in the land a license of which had been applied
for under the above-mentioned Act by the under-named
parties, is pounds.

Dated at , the day of , 18 .
Warden.

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SCHEDULE 12 (Reg. 51).

APPLICATION FOR AGRICULTURAL LEASE.

No. .

To the Warden at .

I hereby apply for a lease of land for agricultural purposes
situate at [Here state the locality], and comprising
acres or thereabouts, in accordance with the Agricultural
Leases Regulations made under “The Mining Act, 1886.”

[Address, occupation, and name in full.]

Dated at , the day of , 18 .

The above application will be heard at , on the
day of , 18 .

Warden.

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SCHEDULE 13 (Reg. 61).

CERTIFICATE OF INTENTION TO GRANT LEASE.

District of , 18 .

WHEREAS the application of for an agricultural lease
of Crown lands, situated at , was heard before me on
, 18 ; and whereas I have decided that a lease of
acres roods perches should be granted
to the said applicant: This is to certify that the said
is hereby authorized to take possession of the said land, and
the same to hold, use, and enjoy, subject to the terms and
conditions specified in the Agricultural Leases Regulations
in force at the date of the issue hereof.

Warden.

N.B.—This certificate is to be exchanged for a lease when
the said is notified that such lease is ready for his
acceptance, and will become void if the said is notified
that a lease will not be granted to him.

Not Transferable.