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MINNESOTA DEPARTMENT of NATURAL RESOURCES <br /> Region 3 Fisheries <br /> 1200 Warner Road,St Paul MN 55106 <br /> Phone: 651-259-5831 /Fax: 651-772-7977 <br /> WAMMM ra <br /> u ww.KsoAM <br /> PERMIT TO CONDUCT FISHING TOURNAMENT <br /> Permission is hereby granted to the individual and/or organization named below to conduct a fishing <br /> tournament under the provisions of this permit,pursuant to Minnesota State Statutes and Rules. <br /> Name of Tdurnament: Permit Number: <br /> Lynn Johnson Memorial Ice Fishing Contest 15-313-T09 <br /> Name of Permittee: Telephone Number(Include Area Code): <br /> Greg Kieselhorst 612-221-9122 <br /> Address(No.&Street,RFD, Box No.,City,State,Zip Code): <br /> 7155 Brian Drive Centerville, MN 55038 <br /> Name of Sponsor(Organization, Firm or Individual): <br /> Centerville Lions Club <br /> TOURNAMENT DETAIL <br /> Name of Waters: Acres: County: Division of Waters I.D.Number: <br /> Centerville 474 Anoka 02-0006 <br /> Public Access to be used(See#5 on reverse side.): <br /> Rice Creek Chain of Lakes <br /> Tournament Species: <br /> All legal fish; per DNR regulations that apply on Saturday February 21,2015 <br /> Weigh-in Stations: Catch and Release Tournament: X Yes / _ No <br /> Central located Ice Fishing House in <br /> the Contest Area <br /> Estimated No.of Entrants: Boats: Beginning Date: Terminating Date: <br /> 1,000 February 21, 2015 February 21, 2015 <br /> Daily Fishing Hours Entry Fee per Individual Estimated Total Prize Value <br /> 11:00 A.M. -2:00 P.M. $10 $5,000 <br /> Additional Stipulations/Conditions: See Reverse Side. <br /> *The permittee shall submit a report on forms provided, to the Regional Fisheries Manager identified <br /> below,within 30 days after completion of the contest. <br /> Regional Fisheries Mana er' Sianature Date <br /> Regional O tce_Com,Distribution: 12 - 13 - /Y <br /> • Si. Paid Fisheries Office <br /> • Regional Fisheries Manager <br /> • Area Fisheries Supervisor Regional Fisheries Address: <br /> • Area Trails& Waterways Supervisor DNR Region 3 Fisheries Manager <br /> • Area Conservation Ojr 1200 Warner Road <br /> St Paul Mn 55106-6793 <br /> (65 1)259-5831 <br /> 46 <br />