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FOit LGU US�ONLY: <br /> Delmnin�fioa for Part l: ❑ t�Io WCA lurisd'qlioo <br /> ❑ Exempt:No.„(per MN Ru�e 8420.0122) <br /> ❑ No i.oae: (A,B,...C,,per IvQd Ruk 8120.0220) <br /> ❑ Wetl�nd HoYndary nr type <br /> ❑ Replacanenl required—�pplic�nt au�st oomplele Part 0 <br /> �'—OMPI f•Ti�A�C.TIOIV HCL•OW ONI,Y IF aFPL.�CBMENT I NOT E.��nR�p: <br /> Applieatloo�(deelc oae): �Approved ❑AAP�'oved whh aondittons(condidoee utached) ❑Deaied <br /> CortuneotafFindi��: <br /> LGUo,�JcaoJslgnarive Lbts <br /> Name and TYIls <br /> For A�rtc�itanl��d Dnlra=e eseenpliost(AQV Rde MI0.0122 S�bpa l�od 2B)�LGU b�e reeeived p�ootof ree�rd�;of restrietioe� <br /> (per MN R�k B�R0115): <br /> Coe�ery whers srcorded D�are Dncument if awigrud by nrnrdsr <br /> LGU o„a9ctoliag�atwr pols <br /> Minn�aofa Looel/StatcJFederal Appliadoo Fornis for WatedWdJand Prqjects <br /> P�e3 <br />