United States Department of the Interior
BUREAU OF LAND MANAGEMENT
Farmington District Office
6251 College Blvd. - Suite A
Farmington, New Mexico 87402
Camping Permit
Issued T
o: _________________________________
Location: Glade Run Recreation Area
Dat
e(s): __________________________________
Information:
Hol
der is authorized to camp in the Glade Run Recreation Area for the above mentioned dates.
All Federal (BLM), State and Local regulations/laws must be adhered to at all times or this
permit may be void and terminated at the discretion of the authorized officer.
Vehi
cle Information:
M
ake:______________
Model:______________
Year: ______________
Color: ______________
License Plate: _______________ State: __________
Activity (check any that apply):
OHV____ Motorcycle ____ 4X4 _____ Hiking _____ Biking ____
Other (specify) _______________________________________
Number in party: _______
Contact Information:
Ad
dress: _______________________
_______________________
Phone: _______________________
Signature
Date
click to sign
signature
click to edit
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