Transcription of New Application Requesting Renewal or …
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New Application Requesting Renewal or …
OMB Control No. 1018-0022 Expires 04/30/2021 Form 3-200-72 (Rev. 07/2019) Department of the Interior FEDERAL FISH AND WILDLIFE PERMIT Application FORM Eagle Nest Take (Bald and Golden Eagle Protection Act, 50 CFR ) Fish and Wildlife Service Division of Migratory Bird Management TYPE OF REQUEST New Application Renewal BEFORE FILLING OUT THIS FORM, please access the Return Addresses (to obtain the email/postal addresses where this form can be returned), review the Frequently Asked Questions, and read the form Instructions. Please retain the "NOTICES" page for your records. Amendment If Requesting a Renewal or amendment, provide Permit # Complete Sections A or B, and C, D, and E of this Application .
Complete Sections A or B, and C, D, and E of this application. U.S. address may be required in Section C, see instructions for details.
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