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,/„ -- . .. • " ENVIRONMENtAI. QtEQQS52' .J""`"'.-_ �,r.� :ar��9_n;;;'.;'•.,.., <br /> '� . , � � ' '; <br /> ' • ` ($�00 Fee Requitaa) , : ,,� . . <br /> _ . ; <br /> ' I .'.,.:',: '. � <br /> . � . 1 ' ";r�;, �_' :� <br /> . Introduetibti: Yhe Srite EnvitBo�antal Poliey Act of 1971. Chapeer i].21C. R�Y. rNulrr all <br />,. �� �tau and ioeal `overoNntal a�eaeie� to eonsid�r emrirm�ental valuu both for tMit o� ' <br /> " aetioni and�vhen lie�nsin� prlvaea propoul�. !f►� Aet aLo requicu ehat ae Ltt 1� rchani <br /> foe a11 ma,�or accion� si`niEicantir •tfectin� the qualitr of th� eavironw�nt. Z'M purp�� <br /> o[ thi�, eheekliat ii to belp th� aqcela� lmolved d�taestw vMcser er not a prope�al 1� Mel <br /> • n��or aetion. ' • : '•''..`;�; <br /> . . . :.',•` .,;���ti_; <br /> Tluu aoswe t6s lollwina qaestf,ons as ea�pLtelf u �on an rteh th� ieforation pr�wtl� <br /> paiLble to �ou.• Tfiera aepLoation� oi �our ansress an requir�d. or vh�re rou ballew �a <br /> : ssplavatioa vould b� helpiul to• �owro�ent d�ei�ion uken, inelude �anr e�cplanatios in tM <br /> �pae� providad� or u�e additioaal pa�at !i nece�ur�. Tou �hould lnelud� tef�reaq� te �- <br /> ,; repores or �tudi�� o! Yhich �ou ars avara nnd vhiel� are sels�ant to the aa�wr� �ou �rq�l�i�. <br /> Co�pl�a anawr� to the�e qna�tio� nov vill aelp all apaei�s involwd vlth �onr preMMl ' <br /> to undertaiu ths requir�d amriroameatal reviav vithont wneeeuaz� d�L�. ' <br /> !f►� follovin� qnutioo� appl� to �our total propo�al, not �wt to tM licea�e for Mhieh � <br /> ars cutr�ntl� applyi� oz the pseoe�al for vhieh apprrnl is �ouBhe. iour anawss ahoul! <br /> �� laclud� th� impact� vhieh vill b� caus�d b� your propoul ahan it L eoepl�tad. awn the�{1 <br /> � ca�pletion mq not ocenr �mtil�a�atfm� la tha Lutur�. ihis vl11 allw all oi eh� aspely <br /> .� vhieh will b� inwlwd u eampleta tluir endso�utaul reviev now. vit6ont duplieatlt�• . <br /> P�par vork ia tb� futnrr. � . ' - •- <br /> �� NOTLs 17ii� is a atandasd fars b�lag us�d b� all state �nd local aqnciw ia th� :tat� �[ <br /> iJa�hiaston fot varions t�pu oE.psopo�al�. ltan7 of th� queation� sa� not a <br /> IL a que�tioo doe� not appl�, �ust aasv�r it ^co^ aad�contimie an to th� n D <br /> . . ' ' ' �� <br /> ,qv�xoia�ru. ceEcesasr Famt-'. , , MpY '11979 , .: <br /> . . _ . , ,,, <br /> ! i. sec�aomQn • � ' CIT'Y.OF EVERE <br /> .1. Nam� ot Proponene {� � M ��•lttll(h15'L'� 1 Pl�nnine nanr_. <br /> • 2. Addre�� ana Yhon� N�bai oi Proponeat: �D. BOX 349 SANTA 1'NDN116A �e9fdFt 96�9G <br /> 213� 451- 446'Z ,�*6�� '�-��'fEyT*� 11230 1St+t� �'Nd� KIR,K��M�iKM� /?.!-M�S� <br /> ' 3, Date Cheeklist Submieted �� 2�J � 17 — <br /> • 4. Agancy Aequiring C6eckliet bIJILDIM�b(n�_��.��� � ����'� , <br /> 9. Nam� of Propoo�l, if applicabla: ' — . •' <br /> �-- 6. Nature aad Brief Description of the Proposal (including but"not 1laited to it� �ise; <br /> �eaaral design elemeats. and other factara that vill �iw an aecurate uader�tandlns <br /> oi its seope aad nature):�,,,�111�IT LOf�DON <br /> • 1l�� 'ti R�1rG K0�4D ! t1P4lTS AROUf�L� A UtlRf W! -� � ��1L^Il�a- <br /> � �i►�RT Ld112'r PR���GT �t}SfSTS �DF 171IV/�F�OI�'.� � �14T /AlITS : � . <br /> 7. Loeation of Proposal (describe the physical •ettiag of the propoeal. as vell u t6� .� .r` <br /> extent of the land area affected by any eavironmenul impaeti. lneludia� a� otMr :� <br /> intotmation needed to give an aceutate uoderatanding oi the emriron�ental �tttln� oI • <br /> the pzoposal): t}}Iti S�T'� IS A9dtJC 3 AzAE"S dNfl is,�./T�VW <br /> �.�4T'�/ A FIE.W 1'f16�'� t � �SGFtiU6 BI��Sf�. ' <br /> @. Estimaced Date far Compleeion of the Proposed Aetion: ,1�,[�{� � t PJf7 � � <br /> . . , <br /> , . . . , , . <br />