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1 <br />Y ~ O <br />De artme~t of Fish aid ~Ti~dlife . _ . w ~ M * o Fish Division <br />. I ~ . ~ - , ~ ~ z Theodore R. Kulon oski 3406 Cherry Avenue <br />g *'`k•R *=~#R. Governor Salem, oR 97303 <br />~8~~ Voice: 503-947w6200 . <br />Fax: 503-947-6202 <br />TTY: 503-947-6339 <br />http:/Iwww.dfw.state.or.us <br />4REG4N <br />July 6, 2010 ~~sh&w[~aiifie <br />Oregon Fish Scientific Take Permit Fee . <br />Form <br />Please f 11 out the following form and send <br />it with a check or money order to: <br />QR Dept, of Fish and Wildlife <br />Attn: Fiscal Department <br />3406 Cherry Ave NE <br />Saiem, oR 91343 <br />A lication # 15 7 3 5 Pro'ect Title Eugene Airport Quarry Ponds Turtle Salvage <br />• ~]regon Scientific Take Permit Fee Schedule <br />A fee of $15.00 plus a $2.00 license agent fee} shall be charged far each Fish Scientific Take <br />Permit issued for scientific or educational purposes as part~of a program or course of study at a K- . <br />12 educational institution. <br />A fee of $100.00 (plus a $2.00 license agent fee) shall be charged for each Fish Scientif c Take <br />. Permit issued for any agency, corporation, association, or other such entity. <br />Amount Included $10 2.0 0 <br /> . Please include your permit numbers} on your check. <br />These fees must be paid in full before a Scientif c Take Permit will be issued. <br />i <br />I . . <br />