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(Above Space is Reserved for Recording Infoimaliony <br />DECLARATION OF RESTRICTIONS AND COVENANTS <br />FOR <br />REPLACEMENT WETLAND <br />This Declaration of Restrictions and Covenants for Replacement Wetland (Declaration) is <br />made this____day of_____________, 19 ____by the undersigned Declarant: <br />RECITALS <br />A. The Declarant holds the fee title or perpetual easement on the real property <br />described as follows: <br />[Insert legal description of the smallest parcel of land possible containing the <br />Replacement Wetland.] <br />B. This real property is the site of a Replacement Wetland, as defmed in Minnesota <br />Rules 8420.0110, subp. 40. <br />C. The Declarant is seeking approval of (1) a replacement plan under Minnesota <br />Statutes section 103G.222 and Minnesota Rules 8420.0530 or (2) a bank plan under Minnesota <br />Rules 8420.0740, <br />D. The Replacement Wetland is subject to the Wetland Conservation Act of 1991, as <br />amended, Minnesota Statutes section 103G.222 et seq.. and all other provisions of law that apply <br />to wetlands, except that the exemptions in Miimesota Statutes section 103G.2241 do not apply to <br />the Replacement Wetland, pursuant to Minnesota Rules 8420.01 IS. <br />FORM A <br />Page I of4 <br />1 <br />ii