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Maryland Waterfowl Restoration Program -
Application
Yes, I would like to participate in the Maryland Waterfowl
Restoration Program.
Date: ____________
Landowner's Signature: ____________________________
Landowner's Name: _______________________________
(PLEASE PRINT)
Telephone:
Home: ___________________________
Office: ___________________________
Mailing address:
___________________________________________
Street or Rte. #
____________________________________________
Town
______________
State
______________
Zip Code
Location of Property:
____________________________________________
Street or Rte. #
____________________________________________
Town
______________
State
______________
Zip Code
Directions from nearest town:
____________________________________________________
____________________________________________________
The size of my project area will be ______ total
acres
with ________ acres of semi-permanent water or wetlands.
Type of land
use:
____________________________________________________
(farming, grazing, residence, hunting, wildlife refuge, etc.)
Draw a map of the project area showing the nearest
town,
access roads and location of property.
You may use the area below or
include an extra
page.
Mail
to:
Maryland Waterfowl Restoration Program
DNR - Wildlife and
Heritage Service
PO Box 68
Wye Mills MD
21679
For Official Use Only
Date
received
Date landowner contacted
Date project area
visited
Approved
Information kit provided
Reason for
rejection
Referred to Migratory Game Bird Advisory Committee
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