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BOW AND ARROW DEER HUNTING PERMIT <br />PERMIT NO: <br />The City of Little Canada hereby issues a bow and arrow deer <br />hunting permit to: Dave Cossack to hunt on the <br />property described in the Bow and Arrow Landowner Deer Hunting <br />Authorization Form below. This permit is not transferrable and <br />may only be used by the person to whom it is issued. This <br />permit will terminate immediately if the consent of the <br />landowner to use the property for deer hunting is withdrawn. <br />Authorization to hunt on private lands in the City of Little <br />Canada must be issued by the landowner. The City of Little <br />Canada expressly denies any liability for actions resulting from <br />any hunting. <br />Signed: Dated: <br />BOW AND ARROW LANDOWNER DEER HUNTING AUTHORIZATION FORM <br />_ Myers Frattalone property owner at 2939 Centerville Road <br />(Landowner's Name) (Address) <br />Little Canada, MN 55117 <br />484 -2349 N/A , do hereby Phone No.) y give <br />(Business Phone No.) <br />approximately 16 to 20 acres lying north of Pioneer <br />permission to hunt on Park and south of the Slumberland property. <br />(Description of Property to be Hunted on) <br />to: AN AUTHORIZATION FORM MUST BE ISSUED TO EACH PERSON GIVEN <br />PERMISSION BY THE LANDOWNER TO HUNT ON THE ABOVE DESCRIBED <br />PROPERTY <br />Dave Cossack <br />4770 Centerville Road, Apt. 221 <br />(HUNTER'S NAME) (HUNTER'S ADDRESS) <br />White Bear Lake, MN 55110 <br />HUNTING LICENSE NO. 107715 <br />653 -1522 <br />Page 4 <br />(HUNTER'S PHONE NO.) <br />NO. DEER TAKEN <br />