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CITY OF GEM LAKE, MN <br />City Hall 4200 Otter bake Road. <br />Gem Lake, MN 55110-3763 <br />Telephone 651-747.2790/2792 <br />E-mall Clt emiakellt'IN:vr <br />Permit to Allow .Archery Deer Hunting in the City of Gem. Lake <br />Permission is hereby given to klrtfo owner -of the located <br />property . ed <br />at Gem Lake, Minnesota, to allow archery deer hunting <br />on the property. <br />The fallowing guldellnes must be followed.or You 1,011 be in violatlon of Ordinance No. 124B, <br />+ The ermA to allow archery deer hunting on your property shall run from TN <br />rr+ iD l� <br />to 2b a (three consecutive week maxlmurn); <br />* Shooting of the bow and arrow shall be the following three. days of each week only; <br />n.e, z- 114 1 � If . �� � i ter, nP. �.r, -� <br />* A copy.af this Permit:must be displayed on the premises; ar►d <br />• Additional requirements of the G <br />Permit. ern Lake City.CounclI are. listed on the reverse side of this <br />Dated. <br />Vwe, <br />requirements. <br />06te:. <br />Mayor, City of Gem take <br />(Prop <br />ave read and and rstand the above <br />P A 7 -7 - -- <br />ure — all omiers mast s. n) <br />(Pra` er)owner Signature] <br />................... ...........I ........................ ..... ... , ........ �......... :............. <br />1 To:be completed by tide City of Gem Lake; <br />2/5 plus acres parcel verified <br />❑ City CouriCil Approval <br />D'slDo fee paid Date: <br />;$540.00 security Deposit <br />❑ Deer Harvest report received <br />i ❑ Sow Hunter �d.. Certificate verified Security Deposit returned <br />DNR Permits — verified <br />F ❑ Deer Stand locations/parcel/buildings location/shooting lanes <br />I 1/2a17 <br />