ROAD PERMIT SECTION TRANSFER APPLICATION	Cascades

Natural Resource District

Date:

Name of Licensee Transferring:

Licensee Mailing Address:

Licensee Telephone:	Fax:

Licensee Road Permit/No File: 11400-25/R

Associated Forest Licence: A C.P:

Geographic Location:

Forest Cover Mapsheet Reference:

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Road Section Name for Transfer:	Is this a partial road transfer? Yes	No

KM of road being transferred: from to km

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Road Section Name for Transfer:	Is this a partial road transfer? Yes	No

KM of road being transferred: from to km

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Road Section Name for Transfer:	Is this a partial road transfer? Yes	No

KM of road being transferred: from to km

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Name of Licensee Accepting Transfer:

Licensee Mailing Address:

Licensee Telephone:	Fax:

Licensee Road Permit/No File: 11400-25/R

Associated Forest Licence: A C.P:

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New Road Section Name:

KM of road being accepted: from to km

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New Road Section Name:

KM of road being accepted: from to km

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New Road Section Name:

KM of road being accepted: from to km

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The following must be included with this application:

1 copy of cutting permit map spatially submitted to ESF for Exhibit A purposes FROM Licensee

1 copy of cutting permit map spatially submitted to ESF for Exhibit A purposes TO Licensee

RP Transfer Application form (or cover letters from each applicant)

RP Transfer Section name(s) and length(s)

___________________
Licensee Signature (transferring)
Printed Name
Dated

Licensee Signature (accepting)
Printed Name
Dated

F11 through document to select fields, double click on box and select checked

RP Transfer Application_2018

Renata Vallee

2010-04-26

Vallee, Renata E FLNR:EX

Province of British Columbia