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<br />.- <br /> <br />~ <br /> <br />II! <br /> <br />ENDANGERED SPECIES <br /> <br />I . COIIPLETE TIlE FOLLOIlIRC: <br /> <br />a. Specie.: <br /> <br />(Sci.otific D.-e) <br /> <br />(CoUlon nue) <br /> <br />lluabe<_ Aae_ Sex_ <br /> <br />b. <br /> <br />At the tille of .ppUearioD. the wildlife <br />/7 h.. beeD <_v04 fr.. the wild <br /> <br />I~ val railed ia captivit, <br /> <br />.ought to be covered: D i. Iti11 in wild <br />(COUDtry & place of removal) <br /> <br />(country and place where wildlife was born) <br /> <br />c. Attempt. to obtab the wildlife in a manner which would not cau.e tbe death or removal frOll <br />tbe wild. <br /> <br />d. A cClaIplete delct'iptioa aDd addre.. of the in.titution or facility where tbe wildlife will <br />'be used, dilpla:red 01' ..iDtained. <br /> <br />II. ATTACH TIlE FOLLOllIIC mOlllATIOII 011 PLAlII WHITE PAPER: <br /> <br />s. <br /> <br />f. Copie. of cootraetl and. l&reellent8 relating to the ,anait, including the identity of all <br />periOD. who viII eBII,e i. the .ctivi~ie. and the date. of .uch activitie.. <br /> <br />A It.temeat ju.tifJial t'. pemit, ineludin&: <br />(1) Detaill of tle .tiyid.. (attach reaearch propolals. if appropriate). <br />(2) Bow the actiYities .ill be carried out. <br />(31 1IIe relati--'it to .cientific objective. or to eDb.aciDI the prop8gltiolll or survival <br />of the vi14lUe iawlved. <br />(4) Planned dil...itioll. of tbe vildlife upon tenaination of tbe activitiel. <br /> <br />III. IF LIVE lIILDLIR IS 111 IE COVEIlED BY THE PERMIT: <br /> <br />1) Al:tacb photoS<'" .. 'iasr- of the area aDd fad litie. where wildlife will be hou.ed <br />and cared for. <br />2) Ciye 1 brief 1'__ .. tM technical expertise of tbe per,OD' who viII care for lucb <br />vildlife iDcludia&.., ezperience tbe applicant or bit per,oDDel bave had in rai,ios. <br />caring for. 0lI pt.1 arba I~ilar wildlife or any clolely related vildlife. <br />3) Indicate your villUpella to participate in . cooperative breedinl pro&r.. or to <br />cootribate data to . ....... . <br />4) De.cribe the type. u.e ... eonltructioD of all containera wildlife will be placed in <br />during transportalia... tnporary storage. if any. and the arrangement. for feeding. <br />vatering. and otltavile c.riag for it during that. period. <br />S) Provide I deuilH ~ription of all mortalitie8 during the preceding 5 years in- <br />volving tbe .peelee ~ in the application and held by the applicant (or any <br />otber wildlife of.... ,enuI or family beld by the applicaDt). including the <br />cause. of lueb ~iea aDd the atepa taken to avoid or decrease 8uch aortalitiel. <br />