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SCIENTIFIC NAME:
LOCATION SIGHTED: (Provide the address USE KEY MAP: (attach images)
and coordinates if possible)
SIGNIFICANCE (Tick the appropriate category and provide a description for each)
STATUTORY CONTROL (List and attach if possible the existing ordinances related to the landscape)
o Tourism
o Education
o Health
o Religion and Spirituality
o Legislation
o Trade and Industry
o Public Works
LIST OF SOURCES OF INFORMATION
o Communication List and attach the following:
o Culture and History
o Transportation o Bibliography
o Information Technology o Archival Sources
o Agriculture o Name of Resource Persons and
o Science Date of Interviews
o Others: ____________________ o Date of Physical Survey: ________
PICTURE: (attach images) DESCRIPTION:
SOURCE:
SOURCE: