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2. Notification of Intent to Hunt
   The undersigned property owner(s), after having the opportunity to fully read and understand the hunting regulations as found under Ordinance 2872, hereby notifies the City of Des Peres Department of Public Safety of his/her intent to permit archery hunting on the following property:
4. Address of Property to be Hunted
6. Property Owner's Name
7. Property Owner's Phone Number
9. Property Owner's Email Address
11. Hunter(s) Name(s)
13. Date(s) of Proposed Hunt
    Date(s) of Proposed Hunt Start Date

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    Date(s) of Proposed Hunt End Date
15. Please check the following boxes to certify that you have read and fully understand the hunting regulations contained under Ordinance 2872: *

    1. I have reviewed and understand the regulations defined under Ordinance 2872
    2. I shall notify in writing all contiguous property owners of the hunt, using the appropriate forms provided by the city
    3. All hunters on my property shall be at least 18 years of age
    4. The property on which the hunt shall occur is at least one (1) acre or represents a combination of owner-approved properties that collectively meet that requirement
    5. I or the designated hunter shall notify the Department of Public Safety within 2 business days of any deer harvested
17. Indemnity Clause & Waiver
    In consideration of being authorized to allow archery hunting within the corporate limits of the City of Des Peres, I agree to abide by the terms and conditions of the enabling ordinance, as well as all State regulations concerning deer hunting, and I further agree to indemnify and hold harmless the City of Des Peres, for any and all claims which may arise from the hunting activity on my property, whether such claim is based on property damage or personal injury, or whether or not the claim is based on my activity, the activity of my agents or assigns, or if the claim arises on property other than my own, including acts of negligence, and I further agree that this indemnity clause includes the reimbursement to the City of Des Peres for any and all costs of defense, including court costs and attorney fees, in the event that the City is named as a defendant.
19. Property Owner Signature*
20. Date Signed*
    Date Signed
22. Next Steps
    Please note that if multiple properties are involved in a proposed hunt, all participating households must individually complete and submit this form. Once this form is submitted, a member of the Des Peres Department of Public Safety will make direct contact to survey the proposed hunting site for compliance with the ordinance. Property owners must also distribute the Contiguous Neighbor Notification and Deer Retrieval Permission Form to all neighboring properties not separated by a street and submit those signatures to Public Safety for approval.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field