1. Any timber owner whose timberland is to be devoted to any use other than the growing of timber shall file an application for a timberland conversion certificate with the State Forester Firewarden.
2. Such application shall be on a form prescribed by the State Forester Firewarden and shall include the following information:
(a) The name of the timber owner and his or her address.
(b) The legal description of the land to be converted.
(c) The approximate number of acres to be converted.