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Get NV Industrial Artificial Pond Permit/Quarterly Wildlife Mortality Report Form 2011-2024

Report Year: Zip: Quarter: Jan – Mar Apr – Jun Jul – Sep Oct – Dec Wildlife Mortality Identification (I) Raptors (III) Upland Game (V) Shorebirds (VI) Mammals (IV) Waterfowl (II) Songbirds Please list number and species under each category (DO NOT leave blank) Example: RAPTOR (I) ...................................................................... SONGBIRD (II) ................................................................ UPLAND GAME (III) .

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