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Signature: Date: <br /> • 08/04/2021 <br /> This notice and accompanying application materials may be sent electronically or by mail.The LGU may opt to send a <br /> summary of the application to members of the public upon request per 8420.0255,Subp.3. <br /> • <br /> • <br /> BWSR NOD Form—November 12, 2019 3 <br />