Missouri Outdoor Recreational Access Program (MRAP) Landowner Application Form Please complete this form to confirm your interest in enrolling land into the Missouri Outdoor Recreational Access Program (MRAP). The information provided in this form will assist MDC staff in evaluating your property and in determining eligibility for MRAP. Submit the completed application to the MDC Private Land Conservationist in your county (For contact information, go to mdc.mo.gov and click on Local Contact). Applications must be received by July 15, 2016 to be considered for the 2016 enrollment. Applicant name: Applicant phone number(s): Email address: Mailing address: City: State: Zip: Property owner(s) on deed: List names of individuals who have ownership of this property (if different from above): Property county: Property acres: Property address or location description: Does the land currently have any leases or use-agreements in effect (hunting-rights, cropping/grazing agreements, etc…)? Yes No If answer to previous question is yes, please describe: Are the locations of the boundaries known and easily located? Yes No Are there any current boundary disputes with adjacent landowners? Yes No Have any forest, habitat or conservation practices been implemented on the land? Yes No If answer to previous question is yes, please describe: Preferred Access Option (Circle One): 3) Youth only hunting & fishing Applicant’s Signature: 1) All-access hunting & fishing 4) Archery hunting 5) Wildlife Viewing Date: 2) Small game/turkey hunting 6) Fishing only 7) Undecided
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