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INSTRUCTIONS: (A) Submit original and three copies of this form and three project maps. (B) Attach map information office form "Record of Aerial Photography or Mosaic". (C) Attach USGS Map, Scale 1:5,000,000 on which the area to be photographed is delineated. 1. Name of Agency 2. Project Identification 3. State or States 4. County or Counties 5. ................
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