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FOR OFFICE USE ONLY <br />Registration on tile? ❑ <br />Insurance on file? ❑ <br />Bonds on file? Standard bond <br />Applicant's Local Representative: <br />0 <br />Construction bond ❑ <br />Restoration bond ❑ <br />(if Applicant restores Bond) <br />Mandatory Denial <br />Conditions complied with? <br />(Section 1.17, Subd. 1) <br />Discretionary Issuance? ❑ <br />(Section 1.17, Subd. 3, if Mandatory <br />Denial conditions not complied with.) <br />1'ertnissive Denial ❑ <br />Factors complied with or waived? <br />(Section 1.17, Subd. 2) <br />Permit Fee(s) Paid? <br />Mapping Data Submitted? <br />Applicant on Probation? <br />Yes ❑ No ❑ <br />APPROVED 13Y: <br />City Seal: <br />❑ <br />cnvosramnmrr.APP <br />Page 134 <br />