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BWSR Form WCA WPA 3 Enroll Check by ls723a4r

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									                                                                                                                                       WPA ID # WPA -    -


  Enrollment Checklist
  Wetland Preservation Area
Note: Maintain this checklist on file with copies of all pertinent information relative to this WPA enrollment.
Application Process:
Application materials submitted:
             Completed and signed WPA Application form
            Application fee (if required)
             Signed and acknowledged WPA Restrictive Covenant for the identified area, ready for recording
             Completed Wetland Preservation Area SWCD Advisory Statement
             For registered property only, the owners duplicate certificate of title

         Additional information requested:                                                      on
                                                (N/A if none requested, proceed to next line)                     (Date)

Date of Complete Application:                                         By:
                                                                                 Signature (County official)
Review, Approval/Denial Notification and Recording Information:

WPA Enrollment Approved                                               OR           WPA Enrollment Denied
                                     Date                                                                                      Date

Notification of decision sent to landowner on                           (Note: Approved WPA becomes effective 30 days from this date)
                                                           Date
                                                                      By:
                                                                                 Signature (County official)
If approved, copy of application sent to the following within five days of approval:

Date                       County Assessor

Date                       County Soil and Water Conservation District

Date                       Local Governmental Unit, if different from county

Date                       Board of Water and Soil Resources Central Office, St. Paul

Date                       County Recorder
                           Note: County Recorder is also sent the original WPA Easement Form for recording upon approval

                                                                      By:
                                                                                 Signature (County official)

Notice received from County Recorder that Restrictive Covenant has been recorded:
                                                                                                       Date/County official initials
Termination of WPA:
Notice of Expiration of Restrictive Covenant received from landowner:
                                                                                 Date
Date of Expiration (no earlier than eight years from the above date of request for termination notice):
                                                                                                                              Date
Notice of Expiration of Restrictive Covenant forwarded to County Recorder, for recording on date of expiration:
                                                                                                                                          Date
County notified the following of the date of expiration:

Date                       County Soil and Water Conservation District

Date                       Local Governmental Unit, if different from county

Date                       Board of Water and Soil Resources Central Office, St. Paul

                                                           By:
                                                                                 Signature (County official)
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BWSR_Form_WCA_WPA_3(Enroll_Check)                                                                                                         (April 2003)

								
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