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LIMITED LEGHOLD TRAP PCRMTT <br />PERMIT FLEE. $10.00 <br />DATE: Y • <br />Name: E <br />Addr� -s:'►YE' 1 �L <br />Location of Trapline: <br />Y, <br />Application Number: <br />Number of Traps:Maintenance procedure for t.-apl <br />Period of time needed for permit: <br />Purpose <br />1 all A <br />( <br />I <br />Include written <br />/6 f <br />statement <br />of narcisnip j <br />G� �' ,(' <br />Ct COAJ <br />u <br />I agree to furnish a certified property owners liot of property owners <br />within 500 feet of trapping area. Property owners will be notifie(I of <br />application. I agree to abide by all applicable Federal_, State, and <br />Local Taws including ordinance 232. <br />Fee paid, <br />Date: W Z i 9 L <br />Check j L� <br />Cash <br />InitiPls �'4' <br />7/11-t <br />Signature of App can£ <br />Rl.CGi17 ;BED: Yes _ 1 No <br />a .. c Safe-1 nirec or <br />APPROVED: Ye s E_J No I _ —._I <br />,----- <br />,i y mmini;,t:i+or <br />Certified list of property owyirrs within 500 f#-et of y, ,ir tra; 1.1ne can <br />be obtain, I from the Hennepin Cniinty Property & ()fficeq <br />A-603 County Goveinment Center, downtown 1,1innespol i s. <br />