{"id":5877,"date":"2021-01-20T01:33:01","date_gmt":"2021-01-20T01:33:01","guid":{"rendered":"http:\/\/cfpcstate.iseo.biz\/?page_id=5877"},"modified":"2021-03-16T17:53:10","modified_gmt":"2021-03-16T17:53:10","slug":"application-form-for-issuable-permits","status":"publish","type":"page","link":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/","title":{"rendered":"Application Form for Issuable Permits"},"content":{"rendered":"<p><p class=\"mt-25\">Dealer Permit for Monitoring Fisheries under a Quota <\/p><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_399' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>A brief description of the form or Application to be filled out here.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_399'  action='\/state\/wp-json\/wp\/v2\/pages\/5877' data-formid='399' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_399' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_399_1\" class=\"gfield gfield--type-text vessel-name gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_1'>Vessel Name<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_1' id='input_399_1' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_39\" class=\"gfield gfield--type-checkbox gfield--type-choice vessel-use gf_right_half gf_list_inline field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Vessel Use \/ Endorsement<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_39'><li class='checkbox gchoice gchoice_399_39_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_39.1' type='checkbox'  value='Pleasure'  id='choice_399_39_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_39_1' id='label_399_39_1' class='gform-field-label gform-field-label--type-inline'>Pleasure<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_39_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_39.2' type='checkbox'  value='Commercial'  id='choice_399_39_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_39_2' id='label_399_39_2' class='gform-field-label gform-field-label--type-inline'>Commercial<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_9\" class=\"gfield gfield--type-text gf_left_half official-number field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_9'>Official Number<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_9' id='input_399_9' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_17\" class=\"gfield gfield--type-text gf_right_half official-number-confirm field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_17'>Confirm Official Number<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_17' id='input_399_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_40\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Select One:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_40'><li class='checkbox gchoice gchoice_399_40_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.1' type='checkbox'  value='Individual complete the Individual Participant Information below'  id='choice_399_40_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_40_1' id='label_399_40_1' class='gform-field-label gform-field-label--type-inline'>Individual (complete the Individual Participant Information below)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_40_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_40.2' type='checkbox'  value='Business Agent complete the Business Participant Information UandU'  id='choice_399_40_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_40_2' id='label_399_40_2' class='gform-field-label gform-field-label--type-inline'>Business Agent (complete the Business Participant AND Individual Participant Information below)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_43\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Individual Participant Information<\/h2><\/li><li id=\"field_399_41\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_399_41'>\n                            \n                            <span id='input_399_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.3' id='input_399_41_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_399_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_399_41_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.4' id='input_399_41_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_399_41_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_399_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.6' id='input_399_41_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_399_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <span id='input_399_41_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.8' id='input_399_41_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_399_41_8' class='gform-field-label gform-field-label--type-sub '>Suffix<\/label>\n                                                <\/span>\n                        <\/div><\/li><li id=\"field_399_42\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_42'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_42' id='input_399_42' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_42_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_42_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_42' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Business Agent Information<\/h2><\/li><li id=\"field_399_45\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_45'>Business Name<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_45' id='input_399_45' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_46\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_46'>Business Agent Name (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_46' id='input_399_46' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_47\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_47'>Participant ID<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_47' id='input_399_47' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_48\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">PERMIT CATEGORIES<\/h2><\/li><li id=\"field_399_49\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Striped Bass Dealer Permit<\/h2><\/li><li id=\"field_399_50\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_50'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_50' id='input_399_50' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_51\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_51'><li class='checkbox gchoice gchoice_399_51_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_51.1' type='checkbox'  value='Check Box25'  id='choice_399_51_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_51_1' id='label_399_51_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_51_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_51.2' type='checkbox'  value='Check Box26'  id='choice_399_51_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_51_2' id='label_399_51_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_51_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_51.3' type='checkbox'  value='Check Box27'  id='choice_399_51_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_51_3' id='label_399_51_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_51_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_51.4' type='checkbox'  value='Check Box28'  id='choice_399_51_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_51_4' id='label_399_51_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_52\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_52'><li class='checkbox gchoice gchoice_399_52_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Check Box29'  id='choice_399_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_52_1' id='label_399_52_1' class='gform-field-label gform-field-label--type-inline'>Atlantic Ocean<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_52_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_52.2' type='checkbox'  value='Check Box30'  id='choice_399_52_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_52_2' id='label_399_52_2' class='gform-field-label gform-field-label--type-inline'>ASMA<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_52_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_52.3' type='checkbox'  value='Check Box31'  id='choice_399_52_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_52_3' id='label_399_52_3' class='gform-field-label gform-field-label--type-inline'>Central\/Southern Area<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_53\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_53'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_53' id='input_399_53' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_54\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_54'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_54' id='input_399_54' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_54_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_54_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_54' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_55\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_55'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_55' id='input_399_55' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_56\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_56'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_56' id='input_399_56' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_57\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_57'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_57' id='input_399_57' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_58\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_58'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_58' id='input_399_58' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_59\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Atlantic Ocean Flounder Dealer Permit<\/h2><\/li><li id=\"field_399_60\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_60'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_60' id='input_399_60' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_61\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_61'><li class='checkbox gchoice gchoice_399_61_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_61.1' type='checkbox'  value='Check Box35'  id='choice_399_61_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_61_1' id='label_399_61_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_61_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_61.2' type='checkbox'  value='Check Box36'  id='choice_399_61_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_61_2' id='label_399_61_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_61_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_61.3' type='checkbox'  value='Check Box37'  id='choice_399_61_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_61_3' id='label_399_61_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_61_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_61.4' type='checkbox'  value='Check Box38'  id='choice_399_61_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_61_4' id='label_399_61_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_62\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_62'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_62' id='input_399_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_63\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_63'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_63' id='input_399_63' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_63_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_63_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_63' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_64\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_64'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_64' id='input_399_64' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_65\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_65'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_65' id='input_399_65' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_66\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_66'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_66' id='input_399_66' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_67\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_67'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_67' id='input_399_67' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Spiny Dogfish Dealer Permit<\/h2><\/li><li id=\"field_399_69\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_69'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_69' id='input_399_69' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_70\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_70'><li class='checkbox gchoice gchoice_399_70_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_70.1' type='checkbox'  value='Check Box42'  id='choice_399_70_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_70_1' id='label_399_70_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_70_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_70.2' type='checkbox'  value='Check Box43'  id='choice_399_70_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_70_2' id='label_399_70_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_70_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_70.3' type='checkbox'  value='Check Box44'  id='choice_399_70_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_70_3' id='label_399_70_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_70_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_70.4' type='checkbox'  value='Check Box45'  id='choice_399_70_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_70_4' id='label_399_70_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_71\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_71'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_71' id='input_399_71' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_72\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_72'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_72' id='input_399_72' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_72_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_72_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_72' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_73\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_73'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_73' id='input_399_73' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_74\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_74'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_74' id='input_399_74' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_75\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_75'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_75' id='input_399_75' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_76\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_76'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_76' id='input_399_76' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_77\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Black Sea Bass \u2013 North of Cape Hatteras  Dealer Permit<\/h2><\/li><li id=\"field_399_78\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_78'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_78' id='input_399_78' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_79\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_79'><li class='checkbox gchoice gchoice_399_79_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_79.1' type='checkbox'  value='Check Box49'  id='choice_399_79_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_79_1' id='label_399_79_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_79_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_79.2' type='checkbox'  value='Check Box50'  id='choice_399_79_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_79_2' id='label_399_79_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_79_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_79.3' type='checkbox'  value='Check Box51'  id='choice_399_79_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_79_3' id='label_399_79_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_79_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_79.4' type='checkbox'  value='Check Box52'  id='choice_399_79_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_79_4' id='label_399_79_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_80\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_80'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_80' id='input_399_80' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_81\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_81'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_81' id='input_399_81' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_81_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_81_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_81' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_82\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_82'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_82' id='input_399_82' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_83\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_83'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_83' id='input_399_83' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_84\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_84'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_84' id='input_399_84' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_85\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_85'>Dealer #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_85' id='input_399_85' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_86\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Blue Crab Shedding Permit<\/h2><\/li><li id=\"field_399_87\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_87'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_87' id='input_399_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_88\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_88'><li class='checkbox gchoice gchoice_399_88_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_88.1' type='checkbox'  value='Check Box56'  id='choice_399_88_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_88_1' id='label_399_88_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_88_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_88.2' type='checkbox'  value='Check Box57'  id='choice_399_88_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_88_2' id='label_399_88_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_88_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_88.3' type='checkbox'  value='Check Box58'  id='choice_399_88_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_88_3' id='label_399_88_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_88_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_88.4' type='checkbox'  value='Check Box59'  id='choice_399_88_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_88_4' id='label_399_88_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_89\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_399_89'>Number of Tanks or Floats by System:<\/div><\/li><li id=\"field_399_90\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_90'>Closed Recirculating<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_90' id='input_399_90' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_91\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_91'>Flow-through<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_91' id='input_399_91' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_92\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_92'>Floating<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_92' id='input_399_92' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_93\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_93'>Other<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_93' id='input_399_93' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_94\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_94'>If other, please describe the system<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_94' id='input_399_94' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_95\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_399_95'>Peelers obtained by:<\/div><\/li><li id=\"field_399_96\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_96'>Catches Own<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_96' id='input_399_96' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_97\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_97'>Purchases from Others<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_97' id='input_399_97' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_98\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_98'>Both<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_98' id='input_399_98' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_99\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Facility Location:<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_399_99' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_399_99_1_container' >\n                                        <input class='form-control' type='text' name='input_99.1' id='input_399_99_1' value=''    aria-required='false'    \/>\n                                        <label for='input_399_99_1' id='input_399_99_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_399_99_2_container' >\n                                        <input class='form-control' type='text' name='input_99.2' id='input_399_99_2' value=''     aria-required='false'   \/>\n                                        <label for='input_399_99_2' id='input_399_99_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_399_99_3_container' >\n                                    <input class='form-control' type='text' name='input_99.3' id='input_399_99_3' value=''    aria-required='false'    \/>\n                                    <label for='input_399_99_3' id='input_399_99_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_399_99_4_container' >\n                                        <input class='form-control' type='text' name='input_99.4' id='input_399_99_4' value=''      aria-required='false'    \/>\n                                        <label for='input_399_99_4' id='input_399_99_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_399_99_5_container' >\n                                    <input class='form-control' type='text' name='input_99.5' id='input_399_99_5' value=''    aria-required='false'    \/>\n                                    <label for='input_399_99_5' id='input_399_99_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_399_99_6_container' >\n                                        <select class='form-control' class='form-control' name='input_99.6' id='input_399_99_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_399_99_6' id='input_399_99_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_399_101\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_101'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_101' id='input_399_101' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_102\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_102'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_102' id='input_399_102' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_102_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_102_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_102' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_103\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_103'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_103' id='input_399_103' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_104\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Estuarine Gill Net Permit (EGNP)<\/h2><\/li><li id=\"field_399_105\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_105'>For Renewals-Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_105' id='input_399_105' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_106\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_106'><li class='checkbox gchoice gchoice_399_106_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_106.1' type='checkbox'  value='Check Box101'  id='choice_399_106_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_106_1' id='label_399_106_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_106_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_106.2' type='checkbox'  value='Check Box102'  id='choice_399_106_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_106_2' id='label_399_106_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_106_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_106.3' type='checkbox'  value='Check Box103'  id='choice_399_106_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_106_3' id='label_399_106_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_106_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_106.4' type='checkbox'  value='Check Box104'  id='choice_399_106_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_106_4' id='label_399_106_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_107\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_107'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_107' id='input_399_107' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_108\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_108'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_108' id='input_399_108' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_108_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_108_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_108' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_109\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_109'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_109' id='input_399_109' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_110\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_110'>Vessel ID, Registration or Doc<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_110' id='input_399_110' class='form-control textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_399_111\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_111'>SCFL,  RSCF L  or RCGL #<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_111' id='input_399_111' class='form-control textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_399_112\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Management Areas Fished<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_112'><li class='checkbox gchoice gchoice_399_112_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.1' type='checkbox'  value='Check Box66'  id='choice_399_112_1'   aria-describedby=\"gfield_description_399_112\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_1' id='label_399_112_1' class='gform-field-label gform-field-label--type-inline'>A<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_112_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.2' type='checkbox'  value='Check Box67'  id='choice_399_112_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_2' id='label_399_112_2' class='gform-field-label gform-field-label--type-inline'>B<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_112_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.3' type='checkbox'  value='Check Box68'  id='choice_399_112_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_3' id='label_399_112_3' class='gform-field-label gform-field-label--type-inline'>C<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_112_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.4' type='checkbox'  value='Check Box69'  id='choice_399_112_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_4' id='label_399_112_4' class='gform-field-label gform-field-label--type-inline'>D1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_112_5'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.5' type='checkbox'  value='Check Box70'  id='choice_399_112_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_5' id='label_399_112_5' class='gform-field-label gform-field-label--type-inline'>D2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_112_6'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_112.6' type='checkbox'  value='Check Box71'  id='choice_399_112_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_112_6' id='label_399_112_6' class='gform-field-label gform-field-label--type-inline'>E<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_399_112'>Refer to map, circle all that apply<\/div><\/li><li id=\"field_399_113\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_113'>Gill Net Mesh Size Fished: &lt;=4&quot;<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_113' id='input_399_113' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_114\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_114'>Gill Net Mesh Size Fished: &gt;4&quot;<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_114' id='input_399_114' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_115\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_115'>Gill Net Mesh Size Fished: All<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_115' id='input_399_115' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_116\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Horseshoe Crab Biomedical Use Permit<\/h2><\/li><li id=\"field_399_117\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_117'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_117' id='input_399_117' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_118\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Report filed by February 1<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_118'><li class='checkbox gchoice gchoice_399_118_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_118.1' type='checkbox'  value='Check Box72'  id='choice_399_118_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_118_1' id='label_399_118_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_118_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_118.2' type='checkbox'  value='Check Box73'  id='choice_399_118_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_118_2' id='label_399_118_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_119\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_119'><li class='checkbox gchoice gchoice_399_119_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_119.1' type='checkbox'  value='Check Box74'  id='choice_399_119_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_119_1' id='label_399_119_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_119_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_119.2' type='checkbox'  value='Check Box75'  id='choice_399_119_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_119_2' id='label_399_119_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_119_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_119.3' type='checkbox'  value='Check Box76'  id='choice_399_119_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_119_3' id='label_399_119_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_119_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_119.4' type='checkbox'  value='Check Box77'  id='choice_399_119_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_119_4' id='label_399_119_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_120\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_120'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_120' id='input_399_120' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_122\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_122'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_122' id='input_399_122' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_122_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_122_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_122' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_123\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_123'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_123' id='input_399_123' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_124\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Permit to Waive the Requirement to Use TEDs in Atlantic Ocean<\/h2><\/li><li id=\"field_399_125\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_125'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_125' id='input_399_125' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_126\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_126'><li class='checkbox gchoice gchoice_399_126_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_126.1' type='checkbox'  value='Check Box81'  id='choice_399_126_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_126_1' id='label_399_126_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_126_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_126.2' type='checkbox'  value='Check Box82'  id='choice_399_126_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_126_2' id='label_399_126_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_126_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_126.3' type='checkbox'  value='Check Box83'  id='choice_399_126_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_126_3' id='label_399_126_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_126_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_126.4' type='checkbox'  value='Check Box84'  id='choice_399_126_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_126_4' id='label_399_126_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_127\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_127'>Vessel Name<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_127' id='input_399_127' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_128\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_128'>Vessel I.D. (P Number)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_128' id='input_399_128' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_129\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_129'>Vessel USCG Number<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_129' id='input_399_129' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_130\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_130'>Vessel USCG Number<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_130' id='input_399_130' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_131\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_131'>Trawl \u2013 Total Headrope Length (Ft.)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_131' id='input_399_131' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_132\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_132'>Number (Rigs)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_132' id='input_399_132' type='text' value='' class='medium'  aria-describedby=\"gfield_description_399_132\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_399_132'>Single (1), Double (2), Twin (4)<\/div><\/li><li id=\"field_399_133\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_133'>SCFL, RSCFL or Assignment No.<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_133' id='input_399_133' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_134\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Monkfish Large Mesh Gill Net Permit<\/h2><\/li><li id=\"field_399_135\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_135'>Current Permit #<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_135' id='input_399_135' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_136\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_136'><li class='checkbox gchoice gchoice_399_136_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_136.1' type='checkbox'  value='Check Box85'  id='choice_399_136_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_136_1' id='label_399_136_1' class='gform-field-label gform-field-label--type-inline'>New<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_136_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_136.2' type='checkbox'  value='Check Box86'  id='choice_399_136_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_136_2' id='label_399_136_2' class='gform-field-label gform-field-label--type-inline'>Renew<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_136_3'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_136.3' type='checkbox'  value='Check Box87'  id='choice_399_136_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_136_3' id='label_399_136_3' class='gform-field-label gform-field-label--type-inline'>Update<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_136_4'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_136.4' type='checkbox'  value='Check Box88'  id='choice_399_136_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_136_4' id='label_399_136_4' class='gform-field-label gform-field-label--type-inline'>Replace<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_137\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_137'>Contact Person (First, MI, Last)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_137' id='input_399_137' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_138\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_138'>Contact Person Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_138' id='input_399_138' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_138_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_138_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_138' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_139\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_139'>Contact Person Telephone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_139' id='input_399_139' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_140\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_140'>Vessel I.D. (P Number)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_140' id='input_399_140' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_141\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_141'>SCFL or RSCFL License No.<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_141' id='input_399_141' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_142\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_142'>Crew Member #1 (First, MI, Last):<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_142' id='input_399_142' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_143\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_143'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_143' id='input_399_143' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_143_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_143_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_143' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_144\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_144'>Phone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_144' id='input_399_144' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_145\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_145'>Crew Member #2 (First, MI, Last):<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_145' id='input_399_145' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_146\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_146'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_146' id='input_399_146' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_146_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_146_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_146' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_147\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_147'>Phone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_147' id='input_399_147' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_148\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_148'>Crew Member #3 (First, MI, Last):<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_148' id='input_399_148' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_149\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_149'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_149' id='input_399_149' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_149_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_149_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_149' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_150\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_150'>Phone #<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_150' id='input_399_150' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_152\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_152'>I ____ certify that<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_152' id='input_399_152' type='text' value='' class='medium'  aria-describedby=\"gfield_description_399_152\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_399_152'>1.\tAll the information provided on this application and any supporting documentation provided is true, accurate, and complete. And further, for renewals, any changes in information or supporting documents have been provided at the time of renewal. I understand that any false information or fraudulent disclosures may result in termination of appropriate licenses, permits and related documents, revocation or suspension of marine fisheries licensing and other privileges, and in possible criminal prosecution.\n<\/div><\/li><li id=\"field_399_153\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_153'>2. I am a resident of the State of:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_153' id='input_399_153' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_154\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >If claiming resident status in North Carolina, I certify further that (check one):<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_399_154'><li class='checkbox gchoice gchoice_399_154_1'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_154.1' type='checkbox'  value='Check Box106'  id='choice_399_154_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_154_1' id='label_399_154_1' class='gform-field-label gform-field-label--type-inline'>I have been a legal resident for more than six months, or<\/label>\n\t\t\t\t\t\t\t<\/li><li class='checkbox gchoice gchoice_399_154_2'>\n\t\t\t\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_154.2' type='checkbox'  value='Check Box107'  id='choice_399_154_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_399_154_2' id='label_399_154_2' class='gform-field-label gform-field-label--type-inline'>If domiciled in North Carolina between 60 days and six months, I have completed and submitted with this application a notarized Certificate of Eligibility for North Carolina Residency.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_155\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">3. If applying for a Standard or Retired Standard Commercial Fishing License as a North Carolina Resident, I also certify that:<\/h2><div class='gsection_description' id='gfield_description_399_155'>(initial the appropriate entry)<\/div><\/li><li id=\"field_399_156\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_156'>I filed a North Carolina State Income Tax Return for the previous calendar or tax year.<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_156' id='input_399_156' type='text' value='' class='medium'  aria-describedby=\"gfield_description_399_156\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_399_156'>Please initial<\/div><\/li><li id=\"field_399_157\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_157'>I was not required to file a North Carolina State Income Tax Return for the previous calendar or tax year.<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_157' id='input_399_157' type='text' value='' class='medium'  aria-describedby=\"gfield_description_399_157\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_399_157'>Please initial<\/div><\/li><li id=\"field_399_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_14\" class=\"gfield gfield--type-product gfield--input-type-singleproduct base-product gfield_price gfield_price_399_14 gfield_product_399_14 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_399_14_1'>Application Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_14.1' value='Application Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_399_14' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_14.2' id='ginput_base_price_399_14' value='$999.00' aria-label='Application Fee Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_14.3' value='1' class='ginput_quantity_399_14 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_399_36\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-radio advanced-renewal gfield_price gfield_price_399_14 gfield_option_399_14 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >RENEWAL ADVANCED PAYMENT OPTION<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_399_36'>\n\t\t\t<li class='gchoice gchoice_399_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='No Additional Years|0'  id='choice_399_36_0'    \/>\n\t\t\t\t<label for='choice_399_36_0' id='label_399_36_0' class='gform-field-label gform-field-label--type-inline'>No Additional Years<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_399_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='2 year renewal|75'  id='choice_399_36_1'    \/>\n\t\t\t\t<label for='choice_399_36_1' id='label_399_36_1' class='gform-field-label gform-field-label--type-inline'>2 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_399_36_2'>\n\t\t\t\t<input name='input_36' type='radio' value='3 year renewal|150'  id='choice_399_36_2'    \/>\n\t\t\t\t<label for='choice_399_36_2' id='label_399_36_2' class='gform-field-label gform-field-label--type-inline'>3 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_399_36_3'>\n\t\t\t\t<input name='input_36' type='radio' value='4 year renewal|225'  id='choice_399_36_3'    \/>\n\t\t\t\t<label for='choice_399_36_3' id='label_399_36_3' class='gform-field-label gform-field-label--type-inline'>4 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_399_36_4'>\n\t\t\t\t<input name='input_36' type='radio' value='5 year renewal|300'  id='choice_399_36_4'    \/>\n\t\t\t\t<label for='choice_399_36_4' id='label_399_36_4' class='gform-field-label gform-field-label--type-inline'>5 year renewal<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_399_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_19\" class=\"gfield gfield--type-total pricing-total gfield_price gfield_price_399_ gfield_total gfield_total_399_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_399_19'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_399'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_19' id='input_399_19' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_399_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_22\" class=\"gfield gfield--type-consent gfield--type-choice consent-agree field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consent<\/label><div class='ginput_container ginput_container_consent'><input name='input_22.1' id='input_399_22_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_399_22\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_399_22_1' >I agree<\/label><input type='hidden' name='input_22.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_22.3' value='1681' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_399_22' tabindex='0'>I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.<\/div><\/li><li id=\"field_399_20\" class=\"gfield gfield--type-text typed-name-for-signature field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_20'>NAME:<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_20' id='input_399_20' type='text' value='' class='medium'  aria-describedby=\"gfield_description_399_20\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_399_20'>Type your full name to sign this secure webform<\/div><\/li><li id=\"field_399_27\" class=\"gfield gfield--type-signature signature field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_27'>Signature<\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_399_27_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_399_27_valid' id='input_399_27_valid' \/><canvas id='input_399_27' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_399_27_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_399_27_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_399_27_data' name='input_399_27_data' value=''><\/div><\/li><li id=\"field_399_23\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_23'>CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_23' id='input_399_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_399_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon signed-date field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_399_24'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_399_24' type='text' value='04\/16\/2026' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_399_24_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_399_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_399_24' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_399_25\" class=\"gfield gfield--type-consent gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Authorization<\/label><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_399_25_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_399_25\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_399_25_1' >I agree<\/label><input type='hidden' name='input_25.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='1681' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_399_25' tabindex='0'>I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current\/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.<\/div><\/li><li id=\"field_399_26\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_161\" class=\"gfield gfield--type-stripe_creditcard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-card\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_399_161_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_399_161'><div class='ginput_full gform-grid-col' id='input_399_161_1_container' data-payment-element='false'><div id='input_399_161_1' class='gform-theme-field-control StripeElement--card'><\/div><label for='input_399_161_1' id='input_399_161_1_label' class='gform-field-label gform-field-label--type-sub'>Card Details<\/label><\/div><!-- .ginput_full --><div class='ginput_full gform-grid-col' id='input_399_161_5_container'>\r\n\t\t\t\t\t<input type='text' name='input_161.5' id='input_399_161_5' value=''>\r\n\t\t\t\t\t<label for='input_399_161_5' id='input_399_161_5_label' class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\r\n\t\t\t\t<\/div><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/li><li id=\"field_399_29\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_33\" class=\"gfield gfield--type-consent gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Having Trouble with your card?<\/label><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_399_33_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_399_33\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_399_33_1' >My card information is not working<\/label><input type='hidden' name='input_33.2' value='My card information is not working' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='1681' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_399_33' tabindex='0'>Check this box to move forward without your Credit Card.<\/div><\/li><li id=\"field_399_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_399_35\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >By clicking submit you agree to these <a href=\"http:\/\/localhost\/cfpc\/terms-and-conditions\/\">Terms and Conditions<\/a> and the above authorization of payment.<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type=\"submit\" id=\"gform_submit_button_399\" class=\"gform_button button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\" value=\"Submit\"> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_399' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_399' id='gform_theme_399' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_399' id='gform_style_settings_399' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_399' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='399' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='WG4Rgpt4izAqg0cw\/CmVmvN0Hthw2ueCRlQfE7aIbK\/B6MeyJPRReHTdOND5ZVGhxe88G7JHKWm2kVNbuKTYOO\/jiLjeOr8+cOHI9vmk3Nb+tVM=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_399' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_399' id='gform_target_page_number_399' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_399' id='gform_source_page_number_399' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 399, 'https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_399').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_399');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_399').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_399').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_399').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_399').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_399').val();gformInitSpinner( 399, 'https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [399, current_page]);window['gf_submitting_399'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_399').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [399]);window['gf_submitting_399'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_399').text());}else{jQuery('#gform_399').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"399\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_399\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_399\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_399\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 399, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":4552,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5877","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Application Form for Issuable Permits - Commercial Fishing Permits Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Application Form for Issuable Permits - Commercial Fishing Permits Center\" \/>\n<meta property=\"og:url\" content=\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/\" \/>\n<meta property=\"og:site_name\" content=\"Commercial Fishing Permits Center\" \/>\n<meta property=\"article:modified_time\" content=\"2021-03-16T17:53:10+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/\",\"url\":\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/\",\"name\":\"Application Form for Issuable Permits - Commercial Fishing Permits Center\",\"isPartOf\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/#website\"},\"datePublished\":\"2021-01-20T01:33:01+00:00\",\"dateModified\":\"2021-03-16T17:53:10+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"North Carolina\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Application Form for Issuable Permits\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/#website\",\"url\":\"https:\/\/commercialfishingpermits.us\/state\/\",\"name\":\"Commercial Fishing Permits Center\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/commercialfishingpermits.us\/state\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Application Form for Issuable Permits - Commercial Fishing Permits Center","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/","og_locale":"en_US","og_type":"article","og_title":"Application Form for Issuable Permits - Commercial Fishing Permits Center","og_url":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/","og_site_name":"Commercial Fishing Permits Center","article_modified_time":"2021-03-16T17:53:10+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/","url":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/","name":"Application Form for Issuable Permits - Commercial Fishing Permits Center","isPartOf":{"@id":"https:\/\/commercialfishingpermits.us\/state\/#website"},"datePublished":"2021-01-20T01:33:01+00:00","dateModified":"2021-03-16T17:53:10+00:00","breadcrumb":{"@id":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/application-form-for-issuable-permits\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/commercialfishingpermits.us\/state\/"},{"@type":"ListItem","position":2,"name":"North Carolina","item":"https:\/\/commercialfishingpermits.us\/state\/north-carolina\/"},{"@type":"ListItem","position":3,"name":"Application Form for Issuable Permits"}]},{"@type":"WebSite","@id":"https:\/\/commercialfishingpermits.us\/state\/#website","url":"https:\/\/commercialfishingpermits.us\/state\/","name":"Commercial Fishing Permits Center","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/commercialfishingpermits.us\/state\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/5877","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/comments?post=5877"}],"version-history":[{"count":2,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/5877\/revisions"}],"predecessor-version":[{"id":8204,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/5877\/revisions\/8204"}],"up":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/4552"}],"wp:attachment":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/media?parent=5877"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}