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�. <br />8. List any environmental information you know about that has been prepared, or will be prepared, directly related to <br />this proposal. <br />�i�}-i�/ � �� � i � ���! ��. <br />9. Do you know whether applicaiions are pending for governmental approvals of other proposals directly a(fecting the <br />propert}� covered by your proposal? If yes, ezplain. <br />10. List any government approvals or permiu that wiil be needed for your ro osal if kn w <br />���' I WN� �M�� <br />G�II�A1+�'yI�N�� �� t��Ny ���� <br />'�/LMIY�M/l'VI,1-�/N rCiN 1� <br />��W1�1 �� <br />��7 N[/►'�{/ �� <br />.�, /�' <br />�/• ' / � <br />I I. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. <br />There are several quations later in this checklist that ask you to ducribc certain aspeccs of your proposai. You do not <br />nad to repeat those answers on this page. <br />k1�i� Y'IQOpG�jING( Y,I.J ��i�0 t� 1�13JL.G�12.'rN� �OJ�G'f WILL <br />wu,ur� t� � oa r,a.�v�i� �a�, � q�a�, i�n �wn <br />413oI�Ojs I,��,' o,�,�,� <br />'M� TDif�l. � I�� 23,l�JDt �a2. l�f. <br />I2. Location o( the proposal. Givt sufficient information for a person to understand the precise location of your pro- <br />poscd project, including a street address, if any, and section, township, and range, if known. If a proposal would occur <br />over a range of area, provide the range or boundaria of the site(s). Provide a legal dacription, site plan, vicinity map, <br />and [opographic map, if reasonably available. While you should submit any plans required by the agency, you are not <br />requircd to duplicate maps or detailad plans submit:ed with any permit applications related to this checklist. <br />�n+�f/1�JG�/I I✓14 ��V�[.7�- G�II�Y/!'/I F�vr`1i1��f'�Y ��`i ��y'1�''��� <br />h�.17,'iklp2eI1J,1� 5� WM. <br />TO LE COMPLETED BY �PPL�CANT <br />B. ENVIRONMENTAL ELEMENTS <br />1. F�rth <br />a. General description of the site (circle one ta ralling, hilly, steep slopes, mountainous, <br />other <br />b. What is the steepest slope on the site (approximate percent slope)? <br />���e � <br />EVALUATION FOR <br />AGENCI' USE ONLY <br />