1204
THE NEW ZEALAND GAZETTE.
[No. 55

Address for service:
Date and number of miner’s right:
Dated this day of , 1
Signature of Applicant:
A.B.
[Or, as the case may be,
A.B.
(by his Solicitor or Registered Agent,
C.D.).]

Precise time of filing of the foregoing application: [e.g.,
24th July, 1899, at 2.30 p.m.].
Time and place appointed for the hearing of the application and all objections thereto: [e.g., Thursday, 10th October, 1899, at 10 a.m., at Warden’s Court at ].
Objections must be filed in Court and notified to applicant at least two days before the day so appointed.
, Mining Registrar.

Form 79 (Reg. 28).

APPLICATION FOR LICENSE FOR A CLAIM.
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 dredging claim [extended quartz claim, or otherwise as the case may be], as specified in the Schedule hereto, in respect of the land therein referred to, 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.]
Precise time, &c. [as in Form No. 78].

Form 80 (Reg. 28).

APPLICATION FOR WATER-RACE.
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 water-race as specified in the Schedule hereto, the course whereof 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, &c.]
Precise time &c. [as in Form No. 78].

Form 81 (Reg. 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 (Reg. 28).

APPLICATION FOR LICENSE FOR A DAM.
[As in Form No. 80, with all necessary modifications, including the following Schedule.]

SCHEDULE.

Greatest height of same:
Breadth of same at base:
Length and width of water-area:
Estimated time and cost of construction: | |

Form 83 (Reg. 28).

APPLICATION FOR LICENSE FOR RESIDENCE-SITE [or SPECIFIED BUSINESS SITE].
[As in Form No. 80, with all necessary modifications, including Schedule as follows.]

SCHEDULE.

Form 84 (Reg. 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, &c.]
Precise time, &c. [as in Form No. 78].

Form 85 (Reg. 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, &c.]
Precise time, &c.