1068
THE NEW ZEALAND GAZETTE.
[No. 66

SCHEDULE 32 (Reg. 177).
APPLICATION FOR SURVEYED BUSINESS SITES.

No.
To the Warden at
I [Name in full] hereby make application for [Section No.] of the surveyed ground set apart for business purposes at [Signature and number and date of business license of applicant.]

Dated at , the day of , 18 .
All objections to the above application must be lodged in writing at the Warden’s office at within fourteen clear days from the date hereof.
Hearing at , on .
Warden.

SCHEDULE 33 (Reg. 179).
REGISTRATION OF BUSINESS SITES WHEN ABSENT.

No.
To the Warden at
I [Name, address, and occupation in full] hereby make application to register for [State period] the business site occupied by me at , under Business License No. , dated .
[Signature of applicant.]

Dated at , the day of , 18 .
All objections to the above application must be lodged in writing at the Warden’s office at within fourteen clear days from the date hereof.
Hearing at , on .
Warden.

SCHEDULE 35 (Sec. 127 Act).
APPLICATION FOR AUTHORITY TO DISCHARGE DÉBRIS ON, OR TO CONVEY THE SAME OVER, OCCUPIED OR UNOCCUPIED GROUND.

No.
To the Warden at
I HEREBY give notice that I desire to obtain authority to discharge débris upon [or to convey débris over] an adjacent claim [or unoccupied ground adjoining my claim as hereunder specified], at , and I desire to obtain permission to occupy thereon sufficient space for the discharge of such débris.

Dated at , the day of , 18 .
Name of adjacent claim:
Signature of applicant:
Number of miner’s right:

Any person having any objection to this application must lodge the same in writing at the Warden’s office at within seven days from the date hereof.
[Date.]
Warden.

SCHEDULE 36 (Sec. 127 Act).
CERTIFICATE OF AUTHORITY TO CONVEY OR DISCHARGE DÉBRIS ON, TO, OR OVER GROUND.

No.
I HEREBY certify that has received authority to discharge débris upon [or to convey débris over] and to occupy thereon sufficient space for the discharge of such débris. [State conditions, if any.]
Dated at , this day of , 18 .
Warden.

SCHEDULE 37 (Reg. 243).
MEMORIAL FOR REGISTRATION OF CLAIM OR RIGHT TO BE PRESENTED IN DUPLICATE TO THE REGISTRAR, WHO SHALL SIGN AND RETURN ONE COPY THEREOF.

[Signature of person applying for registration.]
Registered
Dated at , the day of , 18 .
[No. and date of miner’s right].
Registrar.

SCHEDULE 38 (Reg. 245).
MEMORANDUM OF ASSIGNMENT.

Original documents to be retained and filed on record, and, after being marked by Registrar, to be returned to assignee or his agent.

SCHEDULE 39 (Reg. 249).
MEMORIAL OF ENCUMBRANCE.

To be presented in duplicate, and one copy signed and returned by Registrar.

[Date of memorial.]
[Signature of grantor of encumbrance.]
[Signature of grantee of encumbrance.]
Registered
[Signature of Registrar.]
[Date.]

SCHEDULE 40 (Reg. 249).
DISCHARGE OF ENCUMBRANCE.

No.
To the Mining Registrar,
TAKE notice that Encumbrance No. , upon the interest of in the claim, has been satisfied and discharged this day of , 18 .
[Signature of grantee of encumbrance.]
[Date of registration.]
Registrar.

SCHEDULE 41 (Reg. 219).
SCALE OF FEES FOR SURVEY.

THERE shall be paid for the survey of any area as follows:—
Not exceeding 30 acres, 4s. per acre, but not less than £5.
Exceeding 30 and up to 50 acres, 3s. 6d. per acre, but not less than £6.
Exceeding 50 and up to 100 acres, 3s. per acre, but not less than £8 15s.
Exceeding 100 and up to 200 acres, 2s. 6d. per acre, but not less than £15.
Extended claims £2 10s. each.
Travelling expenses 3s. per mile one way.
Bush-cutting 2s. 6d. per chain.
Underground surveys, encroachments, water-races, or other surveys to which the foregoing rates do not apply, shall be paid for as follows:—
Surveyor’s fee, £1 10s. per day or part of a day.
Labour extra.
Mileage 3s. per mile one way.

SCHEDULE 42 (Reg. 251).
APPLICATION FOR PERMISSION TO CUT TIMBER.

To the Warden at
hereby make application for permission to cut timber on Crown lands within the district of .
Dated at , the day of , 18 .
[Signature.]
[Number and Date of Miner’s Right.]

Any person having any objection to this application must lodge the same in writing at the Warden’s office at within seven days from the date hereof.
[Date.]
Warden.