| Document Date: 2014-06-20 16:35:58
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City Long Beach / / Company Foreign Corporation / / Country United States / / Currency USD / / IndustryTerm municipal services / electricity / mining / telephone line / to routine or uncomplicated applications / reimbursable services / energy / / Organization OTHER ASSOCIATION / California State Lands Commission / Mineral Resources Management Division / PUBLIC AGENCY / / / Position California Secretary / corporate officer / General / Secretary of State / officer / GENERAL INFORMATION SECTION / / ProvinceOrState California / /
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APPLICATION FORM FOR RESOURCE LEASE, PERMIT OR OTHER ENTITLEMENT FOR USE (GEOTHERMAL, MINERAL, OR OIL & GAS) Submit to: California State Lands Commission