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BOW AND ARROW DEER HUNTING PERMIT <br />PERMIT # <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 permit <br />will terminate immediately if the consent of the landowner to use <br />the property for deer hunting is withdrawn.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: 9cwy C_ [fie :1-e- i) Dated: JO c "l1-1 <br />This permit expires at the end of the deer season for bow and <br />arrow unless otherwise noted below: <br />BOW AND ARROW LANDOWNER DEER HUNTING AUTHORIZATION FORM <br />I� MYERS FRATTALONE <br />(landowner's name) <br />LITTLE CANADA, MN 55117 <br />, property owner at 2939 CENTERVILLE ROAD <br />(address) <br />484 -2349 , SAME , do hereby give <br />(home telephone #) (business telephone #) <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 55127 653 -1522 <br />Hunting License # )C / ill <br />Page 26 <br />(hunter's telephone #) <br /># of deer taken <br />