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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 DAVID 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the property for deer hunting is withdrawn.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: /;/G <br />C <br />0 -e Dated: (g <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, RICHARD HEINEL <br />(landowner's name) <br />LITTLE CANADA, MN 55117 <br />, property owner at 3007 VANDERBIE <br />(address) <br />484 -8735 <br />(home telephone #) <br />permission to hunt on <br />SAME , do hereby give <br />(business telephone #) <br />17 ACRES AT 3036 VANDERBIE <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 />DAVID COSSACK <br />(hunter's name) <br />4770 CENTERVILLE ROAD 11221 <br />(hunter's address) <br />WHITE BEAR LAKE, MN 55127 653 -1522 <br />Hunting License # X V,/ <br />Page 28 <br />(hunter's telephone #) <br /># of deer taken <br />