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Auth lD: <br />Contact lD: <br />Expiration Date <br />FS-2700-3c (v . 07 t2012) <br />OMB No.0596-0082 <br />USDA, Forest Service <br />SPECIAL.USE APPLICATION & PERMIT FOR <br />RECREATION EVENTS <br />(Ref.: 36 CFR 251) <br />Authority: Federal Lands Recreation <br />Enhancement Act, 16 U.S.C. 6802(h) <br />FOREST SERVICE USE TYPE 181 <br />DATE RECEIVED ISSUE DATE EXPIRATION DATE <br />REG./FOR./DIST AUTH. ID.STATE i COUNTY <br />PART I- APPLICATION <br />1. APPLICANT INFORMATION: <br />Name of Group: Meridian Geographics <br />Name of Contact: Anqela Cljne <br />Address 7400 Sand Point <br />Applicant's Agent: Anqela Cline <br />Agent's Address; 7400 Sand Point Wav NE, Suit 2012N _ <br />Seattle. WA 981 15NE. Suite 2012N <br />Seattle WA 98115 <br />Phone:Agent's Phone: L_91!_J 548-4943 <br />Fax Number: <br />Corporate Tax lD E-mailAddress: anqela@merqeo.com <br />IF AN OPERATING PLAN IS REQUIRED, SIGN APPLICATION AND STOP HERE. OTHERWISE, COMPLETE ITEMS 2 <br />THROUGH 7. <br />2. DESCRIPTION OF PROPOSED ACTIVITY: <br />Navigation race. <br />3. LOCATION & DESCRIPTION OF NATIONAL FOREST SYSTEM LANDS & FACILITIES APPLICANT WOULD LIKE TO <br />usE (TNCLUDE MAP): <br />Map of region is attached. <br />4. ESTIMATED NUMBER OF PARTICIPANTS & SPECTATORS FOR PROPOSED ACTIVITY: <br />Participants 50 Spectators: 10 <br />5. STARTING & ENDING DATE & TIME OF PROPOSED AGTIVITY: <br />F,tAt20-23 6:00am End: 61412023 o :30pmStart <br />Date Time Date Time