The application of the undersigned for a preliminary permit under the provisions of Article XIV of the Conservation Law (Chap. 579, Laws of 1921 as amended) shows:

1. That the applicant has filed or is about to file with the Commission pursuant to the provisions of the above mentioned act, a formal application for a license covering the project herein referred to, to which application reference is hereby made for information concerning the qualifications of the applicant and with respect to the power site involved, the nature and extent of the applicant's project, the proposed use of the power to be developed at the same, etc.

2. That the applicant seeks a license authorizing the construction, maintenance and operation for the development of power, of the project described or referred to in paragraph “2” of his aforesaid application for a license; but that it is necessary to secure further data and information to enable him (them, it) to furnish the Commission with a definite, clear and comprehensive description of this project and to furnish the information required by Rules V, VI, VII or VIII [subdivision (a), (b), (c) or (d) of section 600.6] (as the case may be) of the Commission.

(Here set forth a general description and map of the project, as far as it has been worked out, as required by Rule XVII [subdivision (d) of section 600.21] and such information required by Rules V to VIII [section 600.6], inclusive, as is possessed by the applicant.)

3. That the applicant seeks a preliminary permit for the period of _ weeks (months) to enable him (them, it) to secure and furnish to the Commission material data and information of the following characters: (Here set forth information required by Rule XVII, subd. b [paragraph (2) of subdivision (a) of section 600.21].)

4. That the following cities, towns and villages are situated within 25 miles of the site of the applicant's project works.

5. (Here set forth such other information as is considered material as bearing upon the merits of the application.)

WHEREFORE, the undersigned prays that a preliminary permit covering the project above described be issued to him (them, it) under and pursuant to the provisions of Article XIV of the Conservation Law for the term of _ months from the date thereof.

Dated __, 19.