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g1IPLly'ATIUN YQU F1141_:AHM II;iE 1'_L'14M I'I' <br />y yY OF ORONo <br />NAME: <br />ADDRESS: 2 ,( <br />DESCRIPTION OF PROPERTY: 31'A Atize <br />TYPE OF PERMIT DESIRED: ANNUAL ✓ 15-DAY <br />DATE STARTING: I��b'b'i DATE ENDING:yq, x%,-9L <br />PURPOSE• ze- z " �) •N "; ,nk r ,__._ _ .. <br />W l� 03 L5 A 41 1 C„a . t I — — <br />I agree that this permit doesn't allow the hunting of game birds of game <br />animals in the city of Orono and agree to abide by all applicable fed- <br />eral, state and local laws. <br />FEE PAID: <br />DATE: <br />CHECK: <br />CASH: <br />INITIALS: <br />.`, •I44a.t <br />SIGN TURE OF APPLI T <br />RECOMMENDED: YES) NO: _ <br />PUBLIC SAFETY DIRECTOR <br />APPROVED:___ _ YES: NO: <br />l'I,ERK-ADM I N I S'CItATOR <br />REMARKS: <br />