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Phone Number: 1 - / Fax Number: <br />E-mail: I I r-C y n - COW -- <br />Ill. REQUESTED COMMUNITY INFORMATION <br />A. Services Available By Snowmobile: Please cheek which, along with how many, of the following <br />services can be accessed by snowmobile in your community: <br />[i Fuel How many: <br />❑ Lodging How many: <br />• Food How many: <br />0 Snowmobile repairs and parts How many: <br />CI Other: How many: <br />Indicate how this snowmobile access is provided (check all that apply): <br />0 On a groomed trail <br />O On an ungoomed designated route <br />d Along a road shoulder <br />❑ On a plowed street or roadway <br />❑ Other: <br />8 <br />APPLICATION <br />I. COMMUNITY CONTACT INFORMATION <br />Coinmunity Name: <br />Contact Person's Nance and Title: <br />Mailing Address: <br />Phone Number: <br />E-mail: <br />Fax Number: <br />Snowmobile Friendly <br />Community <br />NR <br />H. SPONSORING SNOWMOBILE CLUB CONTACT INFORMATION <br />Snowmobile Club Name: . l Esirkc6+ <br />+e ( ; iirrts <br />Contact Person's Nacre and Title: <br />i V L& f erin6 "--- <br />Mailing Address: /PA 1' � - - t. <br />e <br />