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APPLTCATIOH <br />LIMITED LEGHOLD TRAP PERMIT <br />DATE • Z* ^ Application Number:____ <br />Name. t<^ C, L^t// ’j)cj(ij7TH t C . L^i_____________ <br />Aridress! 2-*4^*^ _____<^JM^frT^ /ihJ * <br />Location of Traollnei "1^7 C ^it> Or. /V.,^/1/*^_____________ <br />Number of Traps: f 3i Maintenance procedure for trapl Ine: C/tfi'ck <br />' A/vJ. lyf/K'tl'S________ <br />Period of time needed for permit: /7^,4y ! <br />Purpose ( Include written statement of hardship) 'Trftp <br />L<'r \ tri e' A/o/, A-h c^ ’h/'c^i/ <br />i&Ma f.Ltk^To t. <br />/iyevv:^ <br />t^\‘csjchj y/),^ <br />/)L ______LccaL 'TrApp^r l*jH/ t~rAji <br />/ri¥je^ niAf niAj rX 9<^-/^7(b________ <br />I agree to furnish a certified property ovmers list of property owners <br />within 50C feet of trapping area. Property owners will be notified of <br />application, I agree to abide by all applicable Federal, State, and <br />Local Laws including ordinance 232. <br />' Signature or <br />(rf <br />Applican%^ <br />$20.00 <br />Fee <br />Date <br />Check <br />Cash f <br />Initials <br />uw y <br />paidr^V _ wj RECOMJffilJDED: Yes Vj^ No I ! <br />Public Saf>^y Director <br />APPROVTSD :Yes J No <br />City Administrator <br />Certified list of property ov.Tiers within 500 feet of your trapline can <br />be obtained from the Hennepin County Property & Description Office, <br />A~603 County Government Center, downtown Miruieapolls. <br />i <br />11 <br />■ iWiWllW