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11' PLT CAT i (A <br />LIM I'rED LEGHOLD TRAP PC- R[4'I'V <br />DATE: ,�i �' , 19'/ . Application Number: <br />Name: --r' tj "A) (-c' <br />Address: <br />Locati.on of Trapline: <br />-roNQNQGe- /t'KC- <br />Number of Traps: /2- MaLntenance procedure for trapline: ��✓c�e�'a a ri- <br />f.✓� <br />-1 <br />Period of time needed for permit: % /- <br />Purpose ( Include written statement of hardship) 7-/, l ra s, , At V e _ <br />I agree to furnish a certified property owners list of property owners <br />within 500 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 2',2. <br />3Pna sire of Appl-16ant <br />Fee paid• 1/ r` RECOMMETMED: Yes No i I <br />Date <br />L <br />Check j e'( tc..- <br />Cash <br />b1 c Sla?"0 y Director <br />� .� _, <br />r <br />Initials APPROVED: Yrs i_J No <br />City ni:-t ra or <br />Certified 11st of property owners within 1,100 fort of your trapline can <br />he obtained from the Hennepin Co inty Property -� D-sr.ription Office, <br />A-605 County Government CAnier, downtown Minnnnrnlis. <br />