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<br />Name of Ranch/Hunting Club:
<br />Dates of Youth Hunt:
<br />Emergency Phone if During Youth Hunt:
<br />Location of Youth Ilunt (Nearby City/Town and County — Attach Map of Property for Exhibit B)
<br />Approximate acreage:
<br />Landowner Contact Information (LANDOWNER Name, Address, Street)
<br />State
<br />Zip
<br />Agency Repiesentative:
<br />Agency Representatives Phone
<br />Assigned Huntmaster(s):
<br />Huntmaster Phone (please include area codes)
<br />Days
<br />Evening
<br />Cell
<br />9 �,�
<br />`turkey,
<br />�y y •
<br />'.�.�,,,�,�,f' § 1- 1 ii i 4,'j� r• = -.tt.r „-d,
<br />b
<br />"'W Z�.wJm. ;: qC' la,
<br />Type of Hunt (deer,, dove, duck, squirrel, quail, etc. - be specific listing sex [if applicable] and quantities desiring to be harvested.)
<br />Number of youth hunters supplied by landowner:
<br />Number of youth hunters supplied by YHPF:
<br />Total number of youth hunters:
<br />Will hunters be camping?
<br />Is there fishing access that the LANDOWNER authorizes COMMISSION to use? 13Yes ❑ No
<br />121 Yes • No
<br />Are there cooking facilities that LANDOWNER authorizes
<br />COMMISSION to use? ❑ Yes ❑ No If yes, please
<br />describe:
<br />Will Huntmaster need cooking equipment, food or help making
<br />food arrangements? ❑ Yes ❑ No If yes, please describe:
<br />Are there lodging facilities that
<br />COMMISSION to use? ❑
<br />describe:
<br />LANDOWNER
<br />authorizes
<br />If yes, please
<br />Will Huntmaster need camping supplies and/or equipment from
<br />YHPF? 0 Yes ❑ No If yes, please describe:
<br />Yes ■ No
<br />Are there game cleaning facilities
<br />authorizes COMMISSION to
<br />please describe:
<br />that LANDOWNER
<br />Are there permanent hunting stands that LANDOWNER
<br />authorizes COMMISSION to use? ❑ Yes ❑ No
<br />If yes, please describe:
<br />use? • Yes
<br />• No If yes,
<br />Will Huntmaster need hunting supplies and/or equipment from
<br />YHPF? ❑ Yes ❑ No If yes, please describe:
<br />It '
<br />...0,t1 {It,, 1 x '!It ! 31tri a i.i.,64
<br />4-44,4 . ;o • 2 • e e ' ' °• a�
<br />H
<br />a D fi .1
<br />,, tlp `19 asIon,.
<br />Rev. 7/291)05
<br />48
<br />
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