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N Account Number: Owner’s Name: Current mailing address: City, town, post office, state and zip code: Phone number: Tract Name: Majority County: Additional Counties (if any): Part II. Qualifying Wildlife Management Activities Check the wildlife management practices implemented on the property during the year being reported. A minimum of three practices is required. Habitat control Erosion control Predator control Making census counts to determine population. Provide supplemental supplies.

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