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Personal Use Fishing License Application

OFFICE USE ONLY Check No_____ Check Amount_____ Date Issued_____Conservation ID (if known)First NameLast NameMIBirthdayHeightGenderWeightHair ColorEye ColorEthnicityPersonal Use Fishing License Application Rev 12/2015 StateNumberDriver's License InformationDaytime Phone NumberEvening Phone NumberContact InformationEmail AddressResidence AddressCityStateZip CodeMailing Address (if different than residence)BlackWhiteHispanicAsianNative AmericanOtherMaleFemaleZip CodeStateCityPersonal Use Lobster Fishing $ Closed Season 9/8 - 11/2810 Personal Use Lobster Pot $ $ Current legal size for Lobster Management Area 6 (Long Island Sound)What is the name of your vessel?

Open Access Commercial Fishing License Application These licenses are open access and anyone can buy one. Species and gear restrictions apply.

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