STATE OF MARYLAND Department of Natural Resources FISHERIES SERVICE

REQUEST FOR OYSTER POWER DREDGE PERMIT

FOR OYSTER SEASON 2007-2008

(Required for the harvesting of oysters by Power Dredge)

PLEASE COMPLETE THE FOLLOWING:

License Number _______________________ License Type: (Circle one) OYH TFL

Name_______________________________________________________________________

Address_____________________________________________________________________

City/State/Zip_________________________________________________________________

· I certify UNDER PENALTY OF PERJURY that I have paid the oyster harvester surcharge for the 2007-2008 season and that ALL information provided in this form is true, complete and correct to the best of my knowledge and belief.

· I ALSO UNDERSTAND THAT, making a false statement on this form is punishable by law (Cr, 8-606.)

Signature (Required)_______________________ ____________Date_________________

Submit your request to one of the Department's Regional Service Centers.