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� � <br /> 1 <br /> � <br /> 7. ENVIRO4M�IJ7'AI. IM1tI'ACTS I <br /> �. Agency Requiring Checl:list F.verett Pulldinq De;ar'.m:�r,t (Explonntions ot all "yes nnd "maybe" onswers nre required) <br /> S. Nnme o(Proposnl, if npplicnblr.: <br /> Pizza Nut Restaurant � Yee Mnybe No <br /> 8. Nature nnd Rricf Ucscription of the Pro�osnl (including Uut not (1) Gorih. Will U�e proposnl result in: � <br /> 1Smiled to its �ize, generel dcsign eicmcnts, nnd other fnetors �a) Unsloh]e earlh conuitions or Sn <br /> thnt will �ive nn necurnte underslnndiug of iln scope und <br /> nalure): A free standing reataurnnt j6'x51', appror.lmntel;� 22 feet high changesin gcologic suUstruclures? _ _ x <br /> vith n xood nnd Urtck exterfor and e douCle hip roof epproaimetely 40 I <br /> perktnv spacea wtll be provfded on eite covcr�l9,..ac�].er.3acnping N� '��e���plions, displacemente, com- ' I <br /> 7, Locnlion o[Proposul (describc lhe physicul setting o[ lhe (�.�*um aw,�) 1>acUon or overcovering o[the so(1? z _ _ <br /> pro,�nsnl, es wci7 �a ihe �.xtent of the Sand erea nffected Uy nny (c) Chnnge in topography or grwnd <br /> environmentnl impacts, inclurling any other informution necded surfnce reliet feoturee? <br /> � ' to give an accurnle anderslnndine nf thc environmentai setting x - - � <br /> of the PI•oposal): (d) The dcsUvction, covcrfng or modi- <br /> � Lhe ro sed at�.e is e vecnc�la4�+i-Lh-a ^'�^"�^-Iy-- fica!�on of nny unique geologie or physienl �� <br /> 00 f'eet iTont[n¢ oa the ea�t ei7e of �Voe'.vey Ro3 nt�vroximntely . <br /> 12G feet front,lnr, on f.he norLh eSde_of_Caitforr�y �� fenlm•ex? _ _ x <br /> 8. Eslimated Dnte for Completion o[ Ihe Proposed Action: (e) Any fnerenne fn tvind or water � <br /> ttovemher. 1977 � erosion o[soils, either on or of!lhe site? <br /> 9. Lisl of all Permits, Licenses or Govermnenl Approvnls Requireel - - x <br /> tor lhc Proposnl (fedcrai, slele end local--induding rezonea): <br /> (4 Chunges {n deposition or crosion I <br /> �uildln err,it-Cit of v s 'a' ������ of Lcoch snnds, or chnnge�in FIIIuHon, ' � <br /> cenae from Wnehington Stnte Ltquor Control Board, deposilion or erosion which may modity <br /> lhe chminn,t ot n river or stremn or Ike , <br /> Led of the ocenn or ony bny, inlet or <br /> lU. Do you hnve nny plens for Nture edditions, expanslpn, ��^ ]o1;e? <br /> fvrllier ectivity relnted to nr rnnnected wlih lhia propos6l? if ' •— — '' <br /> yes, ezplzin: };xpinnMiun: the stte reaufre.. iil,+_si. �.�., ra��.,n.,,^r��ntege <br /> no <br /> (2) Air. 1Vi11 Ihc proposN resull in: � <br /> ._ � il Do you know o[uny pinns by othcrs which mny r.flect lhc � � ' <br /> property covered by your proposnl? 1[yea, expinin: (n) Air emSeslons or dzteriorulion o. + <br /> _ no _ umUfenl nh q�nlily? _ _ a I <br /> l2. Attnch any other epplicntion fnrn !�et hos been eompleled (b) The cronlion of objecltonnLle <br /> regerding the proposnl; if none hns been compleled, bul is octora? x <br /> expecled to be filed nt aome fvture dale, deecdbe thc nelure - - <br /> ot such epplfention tm�m: (c) Alleralim:o(uir mnvanent, moiF- <br /> building permlt ' ture or Icmperulure, or nny chnnge in <br /> dimnte, uilher locnlly or ree onelly? _ _ x , <br /> 6, cont. <br /> I t P.xp]nnnlinn: <br /> •Sll cover approxime6ely/j '� of e l06 ofdJ�9q,Aquere I � <br /> feet. ( <br />