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_ i. il l;�:l]Cj� 1�C:yU11'iJ7�� (.�IC(I):]7'Si �� � a C �� �`� . ��,) � ���.
<br /> 5, I�.u�ic of Propo�iil, if nl�plicnble: ' - .� –l–��`– � ����
<br /> �;, n �;j',.;;J�_�- .,--,,-,_,� �,�•-
<br /> f. 1� �urc nnd llr:ci ])escri��tion uf Il;c l�roposal (inclt�din�; but iiui
<br /> ]iir.ited to its si;:c, �;cnornl rlesi�n c�lcmenis, aurl other .�c(o;�r;
<br /> tiu�t v;ill givc rm t�ccurnic under:;tundin�;• of Sts scepc �nd
<br /> �uri!n•c)• ) �,[.. ,_/ /
<br /> .�_--/—C-'�1�_ /inYl /C' f?7`l�' ;"r�57 T �G�q. �_�+.� i; jr�;
<br /> J�._,
<br /> r / / `
<br /> —L}��'���/�_�:.' ii..�, ;} !. .���71^� r,.,i_
<br /> 7. ].ocation uLProposal (describe tlic l��y;�o;,i:,�ccs,�� �r t�,�
<br /> proposal, as ��rc�] as Ute e�:tent of the land ure� nficctcd Uy :u,�.
<br /> on��i�•onmenl;;l impacts, including ang othcr i.i;fo?�m��tion nec;icd
<br /> to j;ivc nn necurate uncierst�uzding of ihe environmcnt�a sef(irr�
<br /> of.tl�e ��ropo<:al): ��
<br /> .�.�_'1J_`-;:�' „ � '}=-� z� ��'�r. 7� - r`/ -
<br /> , � .��.1�:_ � � ,Y �
<br /> ` �:'l�l�'Y(-�r� , �Vh(, _ � __.__. __
<br /> ��7.
<br /> 6, l:stimated 1)rite for CompJetion of tLc Proposed Actinn:
<br /> .---
<br /> cj-���___/.`%�J"-.7_
<br /> �J. ),ist of all ]�e��tnits, Licenses ox• Government Api�r.�t�uls ltcquir�d
<br /> for Uie 1'��opo�nl (fede •.il, slnte mid locnl--includiutr rezoi�os):
<br /> —�_tJ� - ,•�o.-, ; / �i�— •,./� t,� �_�,��/.
<br /> ,�.� �._ �
<br /> t'�'7�'� .' � .��! �1�;��''•'=LC---L�) ' ` �-�_�:�i >
<br /> �
<br /> I ���• .i �7��e'Tir /_i c ' !�) ?v____�`^�-� �'�-•J
<br /> ��J L _L�
<br /> 10. ])o you ]�ave any pim�s for future �dditions, expc�.n�ion, m�
<br /> fur•ti�er ac(irity relafed to or ecnnecied �vith this proposnl? If
<br />�' yes, e::plai�i:
<br />, ?,�n �-
<br />� ' —
<br /> 11 llo ,you laiotv ot Hn}� pinus b�• otlicrs tcliich tnay aficct llic
<br /> . properfp covered Uy yow• proposal? If yes, erplain:
<br /> �!�(;
<br /> 12. Attach �ny otl�cr upnlic;:tirni form Uial l�as been con:pleted
<br /> regnrciin� ilie proposal; if ronc l;.i:: bccn complctr.d, Uu' i:;
<br /> c5:pected to be filad t.t soinc iu�iire �l;dc , Qc;;r.ribu tiic nnbtrc
<br /> of sucli npplication tortn:
<br />
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