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CITY OF GEM LAKE, MN <br />City Hail - 4200 Otter Lake Road <br />Gem Lake, MN 55110-3763 <br />Telephone 651-747-2790 <br />E-mail CLtyi0gemlakeM1N.o <br />Permit to Allow Archery Deer Hunting in the City of Gem Lake <br />Permission is hereby given to 'r ��_,� '.r ICHA' •4'�9E-�- <br />owner � th roperty located <br />at i L S <br />i Gem Lake, Minnesota, to allow archery deer hunting <br />on the property. <br />The following guidelines must be followed or you will be in violation of Ordinance No. 124: <br />• The permit to allow archery deer hunting on your property shall run from , 20 <br />to 20 _-, (three week maximum); <br />■ Shooting of the bow and arrow shall be on the following three days of each week only: <br />44W.lb 141 zr <br />• A copy of this Permit must be displayed on the premises; and <br />• Additional requirements of the Gera Lake City Council are listed on the reverse side of this T 40,/4p <br />permit. <br />Dated: k� <br />I/we, , NG <br />requirements. <br />Date- <br />To be completed by the City of Gem Lake: <br />Mayor, City of Gem Lake <br />--,q� have read and understand the above <br />Owner Signature) <br />— all owners must sign) <br />❑ 5 plus acres parcel verified ❑ City Council Approval <br />❑ $100 fee paid Date: <br />❑ $500.00 Security Deposit ❑ Deer Harvest report received <br />❑ Bow Hunter Ed. Certificate verified ❑ Security Deposit returned <br />❑ DNR Permits — verified <br />❑ Deer Stand locations/parcel/bulid ings location/shooting lanes 8/2016 <br />