CITY OF CHARLESTON

2017 URBAN DEER HUNT

Pacific Street

PERMISSION FORM

1. Bow Hunter

Name: _________________

Address: _________________________________

_________________________________

_________________________________

Telephone Number: _____

Permit No.: ___________

Are you using a cross bow permit? Circle One: YES NO

2. Property

Has the property been designated as an Urban Hunting Tract, by the City

Manager? X Yes

Property Description: Pacific Street

3. Property Owner(s)

Person authorized to give permission to hunters:

David Molgaard, City Manager____ ____304-348-8014____

Name Phone Number

4. Restrictions

If permission is conditional, or is being granted with any restriction(s), please

identify the same:

HUNTING IS PROHIBITED WITHIN 20 YARDS OF THE TREE LINE NEXT TO THE GOLF COURSE; WITHIN 20 YARDS OF TAPED OR POSTED TREES; AND WITHIN 20 YARDS OF THE GARRISON TRAIL. HUNTERS ARE ENCOURAGED TO REMOVE THEIR KILL AT THE BOTTOM OF THE HILL THROUGH MISSION HOLLOW (GARRISON AVENUE) OR IN THE LEAST OBTRUSIVE MANNER WITH RESPECT TO ADJOINING PROPERTY OWNERS OR PARK USERS. DO NOT TRESPASS ON ADJOINING PROPERTY. THESE RESTRICTIONS ARE IN ADDITION TO ALL RESTRICTIONS SET FORTH IN THE ORDINANCE AND RULES AND REGULATIONS.

5. Permission

The undersigned, with authority from and on behalf of all property owners

of the designated Urban Hunting Tract, hereby grants permission to the above

named bow hunter, if granted a City Permit, to participate in the 2017 Urban

Deer Hunt on the property identified herein.

City Manager’s Signature