Landowner_form 071311_Layout 1 7/13/11 8:21 AM Page 1
LANDOWNER PERMISSION FORM
This certifies that _____________________________________________ (and ____ guests) is/are authorized
(full name)
to enter upon the property of _________________________________________________ for the purpose of
(landowner/lessee)
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________.
Permission is valid for the dates _________ to _________.
______________________
____________________________________
Date
Signature of landowner/lessee
The N.C. Wildlife Resources Commission provides this form as a public
service for landowner/lessee and sportsmen use. Landowners/lessees are
not required to use this form, but are encouraged to provide at least the
information above when granting written permission.
_(______)____________________________
Contact number
Revised 7/13/11
LANDOWNER PERMISSION FORM
This certifies that _____________________________________________ (and ____ guests) is/are authorized
(full name)
to enter upon the property of _________________________________________________ for the purpose of
(landowner/lessee)
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________.
Permission is valid for the dates _________ to _________.
______________________
____________________________________
Date
Signature of landowner/lessee
The N.C. Wildlife Resources Commission provides this form as a public
service for landowner/lessee and sportsmen use. Landowners/lessees are
not required to use this form, but are encouraged to provide at least the
information above when granting written permission.
_(______)____________________________
Contact number
Revised 7/13/11