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• , � � <br /> FOR LGU USE ONLY: <br /> DeterminationforPartl: ❑ NoWCAJurisdiction �E������ <br /> ❑ Exempt:No._(per MN Rule 8420.0122) <br /> ❑ No Loss: (A,B,...G,per MN Rule 8420.0220) <br /> ❑ Wetland Boundary or type , �i e�l 18 2010 <br /> ❑ Replacement required—applicant must complete Part II <br /> COMPLETE TI�SECTION BELOW ONLY IF REPLACEMENT IS NOT REOUIItED: CITY OF ORONO <br /> Application is(check one): ❑Approved ❑Approved with conditions(conditions attached) ❑Denied <br /> Comments/Findings: <br /> LGUo�cial signature Date <br /> Name and Title <br /> For Agricultural and Drainage esemptions(NIN Rule 8420.0122 Subps.l and 2B),LGU has received proof of recording of restrictions <br /> (per NIN Rule 8420.0115): <br /> County where recorded Date Document#assigned by recorder <br /> LGU o�cial signature Date <br /> r <br /> Minnesota LocaUState/Federal Application Forms for Water/Wefland Projects <br /> Page 3 <br />