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City of Gem .Lake Received <br />:Heritage Hall. <br />4200 Otter Lake Road I Geni Lake, MN 55110 AUG Q 9 2023 <br />651-747-2790192 1551.-747 -27.95 (Fax) <br />E-mail cjLC&,,ginlakotiin.—org <br />City of Gem Lake <br />Permit to Allow Archery DeerRuntzng in.. the City Of Gem Lake <br />.__....�.�..._,.�.._..�......._.__.__..�-.._..._.,._..__...._...�-_w_ PERMITAPPLICATIONCHECKLIST: <br />To prevent.delay, please ensure the following. information. is submitted <br />Application Fee (if paying with cash we can only accept exact change) <br />S.100.00 <br />500.005 ecurity Deposit (separate check from fcc) <br />5.P1us acre.Parcel 'Verified <br />El Bow.Hunter Education Cerlificatc <br />DNR Permits <br />❑ Deer Stand.Locations/Parcel/Building.Lo.catiorT/Shooting Lanes: <br />Pernflssian is hereby given. to Daniel & Constance. Kunin owner of the -property <br />located at 1270 Goose Lake Rd Gem Lake, Minnesota,.to allow archery deer hunting on the property. <br />`l'he following guidelines must.bc foilowed: 6rYou. wi11 be in Violation of 0rdinance No. 124B: <br />■ The perinit to allow archerydeer hunting on your property shall run. during these. three weeks and these three -days of the week: <br />Nfonth <br />September _ <br />Novembw <br />November <br />Week Start <br />Week End <br />Year <br />Day ofweek <br />Day of week <br />1)ayof iveek. <br />22 <br />to 24. <br />20 .23 <br />on Friday <br />Saturday <br />Sunday <br />10 <br />to 12 <br />20 23 <br />on Friday <br />SaturdaySunday <br />17 <br />to:19 <br />.20 23 <br />Du Friday <br />Saturda . <br />Sunday <br />• . A copy of th1s Perini t.rnust.l?e. displayed on. the premises; and <br />Additional requirements of the Gem lake City Council are listed on the reverse side. of this perinit. <br />Date Mayor, City of Gem. Lake <br />llwe, Daniel.. & Constance K <br />a <br />Date <br />have read and understand theabove req u irein c nts, <br />P pe y. owner ~ignatur (all owners;must sign) <br />operty (]wncr Signature. <br />Office use only m <br />E 5 Plus AcreTafeel Verified ❑ City Council Approved <br />$100 00 Fee Paid gate: <br />l $500.00 Security. Deposit D. Deer Harvest Repoii Received <br />1z Sow Hunters Education Certificate Verified Date-. <br />iDNR Permits Verified [ISecurity.Deposit Returned <br />RJ Deer stand locations/parcel/buildings location/shooting lanes Dale: <br />Archery Dee rHimtingPerrnitPage, 11 <br />