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Best contact phone: ...... . . ........ <br />Location (Address or PID):................ <br />Describe what you want to do: <br />Elk River Police Department <br />13077 Orono Parkway NW, Elk River, MN 55330 <br />(763) 635-1200 <br />. HUNTING <br />APPLICATION/PERMIT <br />Shotgun Game Hunting ❑ <br />Muzzle Loader Game Hunting ❑ <br />Bow Hunting ❑ <br />Shotgun Target Shooting ❑ <br />Archery Target Shootine ❑ <br />Date of Birth: <br />Middle Last <br />City State Zip <br />Date(s) requested: __ _ to <br />Start date Finish date <br />I have read and understand Elk River City Ordinance Chapter 50, Section 50-111 through 50-119 <br />I have read and understand Minnesota State Statute 609.605 "Trespassing"; <br />I understand I must be at least 500 ft from any livable structure or walking trail when hunting <br />or target shooting with a shotgun; <br />I understand I must be at least 250 ft from any livable structure or walking trail when hunting <br />or target shooting with a bow and arrow; <br />I understand I may not under any circumstances hunt or target shoot with a rifle or pistol; <br />I understand the City of Elk River may revoke my permit at their discretion; <br />I have read and understand all Minnesota hunting rules and regulations and agree to abide by them; <br />Hunter Signature: <br />Landowner Authorization <br />Initial <br />Initial <br />Initial <br />Initial <br />Initial <br />Initial <br />Initial <br />Landowner Name: Phone: <br />Landowner Signature: ..... ._� ........��.... - � — .... � � � Date — ...... ........ . <br />Permit #: —,,,,, . .. Date: _........ _ Expires:. __.._._.... <br />