"Zoo Permit Renewal" - New Mexico

"Zoo Permit Renewal" - New Mexico Download Pdf
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Zoo Permit Renewal is a legal document that was released by the New Mexico Department of Game & Fish - a government authority operating within New Mexico.

Form Details:

  • Released on December 1, 2016;
  • The latest edition currently provided by the New Mexico Department of Game & Fish;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Game & Fish.

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ZOO PERMIT RENEWAL
NEW MEXICO DEPARTMENT OF GAME & FISH
FOR DEPT. USE ONLY
NO FEE REQUIRED
FIELD OPERATIONS DIVISION
Check#________________
SPECIAL USE PERMITS PROGRAM
Amount$______________
Date______/______/_____
P.O. BOX 25112
Initials_________________
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
I WISH TO RENEW
I DO NOT WISH TO RENEW
NAME
EMAIL
BUSINESS NAME
WEBSITE
ADDRESS
(mailing)
ADDRESS
(physical)
CITY, STATE, ZIP
TELEPHONE
(Home/Fax)
(Cell)
st
Renewal forms and Annual Inventory Reports must be received before the permit expiration date of March 31
annually. The inventory report can be submitted on page 2 of this renewal form, emailed via an electronic
spreadsheet or printed and attached to this renewal form.
The Zoo Permit will not be renewed until the Annual Inventory Report is received.
By signing below, I certify that the submitted Annual Inventory Report is true and accurate and that the live
animals currently at the zoo were obtained or acquired according to state law and regulation.
_____________________________________________________
Printed name of Zoo Director
_____________________________________________________
Signature of Zoo Director
_____________________________________________________
Date
New Mexico Department of Game & Fish ● Special Use Permit Application
● Revised 12-2016
1 of 2
ZOO PERMIT RENEWAL
NEW MEXICO DEPARTMENT OF GAME & FISH
FOR DEPT. USE ONLY
NO FEE REQUIRED
FIELD OPERATIONS DIVISION
Check#________________
SPECIAL USE PERMITS PROGRAM
Amount$______________
Date______/______/_____
P.O. BOX 25112
Initials_________________
SANTA FE, NM 87504
505-476-8064 / Fax 505-476-8133
Email:
DGF.Permits@state.nm.us
I WISH TO RENEW
I DO NOT WISH TO RENEW
NAME
EMAIL
BUSINESS NAME
WEBSITE
ADDRESS
(mailing)
ADDRESS
(physical)
CITY, STATE, ZIP
TELEPHONE
(Home/Fax)
(Cell)
st
Renewal forms and Annual Inventory Reports must be received before the permit expiration date of March 31
annually. The inventory report can be submitted on page 2 of this renewal form, emailed via an electronic
spreadsheet or printed and attached to this renewal form.
The Zoo Permit will not be renewed until the Annual Inventory Report is received.
By signing below, I certify that the submitted Annual Inventory Report is true and accurate and that the live
animals currently at the zoo were obtained or acquired according to state law and regulation.
_____________________________________________________
Printed name of Zoo Director
_____________________________________________________
Signature of Zoo Director
_____________________________________________________
Date
New Mexico Department of Game & Fish ● Special Use Permit Application
● Revised 12-2016
1 of 2
Name of facility
Reporting year
,
the zoo added (new acquisitions & births); disposed of (deaths, sales, exchanges, etc.) the following animals protected by New Mexico law:
On hand as of
SPECIES
ACQUIRED
DISPOSED OF
SOURCE or DISPOSITION
Renewal date
(common name)
No.
Sex
No.
Sex
(purchased from, died, traded with, etc.)
No.
Sex
*Copy for Continuation Sheets
Reporting Page Number __________
New Mexico Department of Game & Fish ● Special Use Permit Application
● Revised 12-2016
2 of 2
New Mexico Department of Game & Fish New Mexico Legal Forms Legal United States Legal Forms

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