Endangered Resources

Landowner Incentive Program

LIP Priority Areas

Requesting & Managing LIP Financial Assistance
Form 1750-059A (R 11/07)

Landowner Incentive Program

Pre-proposal Letter of Interest

Please fill in the following information if you are interested in receiving technical assistance from a LIP biologist, or if you are considering applying for a LIP grant in an upcoming grant cycle.

LIP staff will follow up with your submission.

This form will reject submissions that include links to webpages. Please note that you will not be able to save information in this form and return to it later.

Personally identifiable information collected on this form will be used for management of the Landowner Incentive Program only. Personal information is not intended to be used for any other purpose, but may be made available to requesters under Wisconsin's Open Records laws.

Property Information
 
N        
 
Habitat Type:
(select all that apply)
  # of Acres
 
Land Use:
(select all that apply)
  # of Acres
 

At-risk Species

Are plants and/or animals listed as state or federally endangered, threatened, of special concern, or of greatest conservation need present on or within 1/2 mile of the proposed project site? If so, please select: *


* Hold down the control (CTRL) button to make multiple selections.

Property Goals and Activities

Current Site Activities (ex. hunting-include species, education, research, etc.)
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Does the proposed project site currently have a management plan?

No       Yes     Preparer:
Is the proposed LIP project site currently under long-term protection (conservation easement, other) or a land-use agreement (CRP, WHIP, etc.)? If so, please specify type & duration:



        
           

           

Is the site or land within 1/2 mile of your project within a designated State, Federal, local land trust, or other conservation organization project boundary (e.g. State Park, Wildlife Area, State Natural Area, The Nature Conservancy Project, etc.)?

        Yes, site is within        


Is land within 1/2 mile of your project site under a land use agreement? (e.g., Conservation Reserve Program - CRP)
                  Type of Agreement:


In a couple of sentences, what types of habitat enhancement or restoration projects are you interested in implementing on the site and why?


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Applicant Information
Check here if the landowner contact information is the same as the applicant's contact information.
This is a multi-landowner project (Email additional landowners if needed).
There is the potential for this to be a multi-landowner project (Email additional landowners if needed).

Primary Landowner Information

Plat map or aerial photo with the project area marked will be sent to the LIP coordinator.

Last Revised: January 23, 2008