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<br />
<br />DATE ISSUED:
<br />
<br />PERMITNUMBER: 2006E-12
<br />
<br />MUNICIPALITY OF: Centerville
<br />
<br />COUNTY OF: Anoka
<br />
<br />ORGANIZATION: CenterviIle Lions Greg Kieselhorst
<br />
<br />ADDRESS: 7155 Brian Dr Centerville MN 55038.
<br />
<br />HOME PHONE: 651-653-1833
<br />
<br />WORK PHONE: 612-221-9122
<br />
<br />VOU ARE HEREBY GRANTED A PERMIT TO: Ice fishing Contest
<br />
<br />.,.
<br />
<br />ON: Centerville Lake
<br />
<br />FROM: February 11 tb 2006 7am
<br />
<br />(LAKE OR RIVER)
<br />TO: February 11 tb 2006 6pm
<br />
<br />I AGREE TO OBSERVE ALL LAWS AND REGULATIONS RELATING TO THE USE OF WATERlICE
<br />AND WATERCRAFI'. I UNDERSTAND THAT TInS PERMIT DOES NOT RELIEVE ME IN ANY WAY
<br />FROM ANY RESPONSffiILITY OR LIABILITY I MAY INCUR IN CONNECTION WITH ANY
<br />ACTMTIES UNDERTAKEN PURSUANT TO TIllS PERMIT. The Anoka County Sberifi's Office
<br />reserves the ri t to cancel this ermit at an time due to cause.
<br />
<br />Signed: ,'.-=
<br />
<br />
<br />Date:
<br />
<br />It ...tfJ.-t('
<br />
<br />Signed:
<br />
<br />Date:
<br />
<br />\ ;)DCull)
<br />
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<br />
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