Resources for Landowners Form - Jackson Hole Land Trust

Landowners request form

Landowner and/or representative:*

Landowner contact information:*

Property and/or mailing address:*

Request:

Location of requested change on property (if applicable):*

Desired start & completion date:*

Further Plans to be submitted?*

If Yes, what do you plan to submit and when?*

Landowner and/or representative signature:*

Date

Any further comments regarding Landowner request:

*Please return form to Stewardship Manager

Mail: Jackson Hole Land Trust

Attn: Derek Ellis

P.O.Box 2897

Jackson, WY 83001