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. � • �. <br /> � <br /> q, Agency Rcquii•ing Cl�ecklist P�zn� �H __ � <br /> 5. Nnmc o[ Proposnl, if npplicnble: • � <br /> 6. Nnture nnd llrict Descripti�m o[ the Proposnl (including but not ' <br /> limited to its size, gencrnl design elements, nnd othcr factors <br /> thnt will give an nccurnte understnnding ot its scope �nd <br /> nnture):�, � /. 6�� <br /> /h�«. ��r.-1 lo dn f cZD 2� .r� �.,r v . <br /> 7. Location of Proposnl (describe Uic physicnl setting of Uie <br /> " proposnl, ns well ns the extent of the lund nren altected by anY <br /> environmental impncts, including nny other intormnUon needed <br /> to give an necurnte underst�nding of the environmentnl setting <br /> ot the proposnl): <br /> _ �.3 /o� G 3(c,, fl � /S7 �/ G+J. Gza��a ,�d <br /> � /`1'iG !,d l�P'+.�o ; <br /> 8, Estimeted Date for Completion of thc Proposed Action. <br /> /2�20/7B ' <br /> ' 9. List o[ all Permits, Licenses or Government Approvals Required <br /> for thpe�Propo,�al (tedernl, stnte nnd locnl--including rezones): <br /> _�pJ� �`r"' � <br /> � <br /> 10. Do you have nny plens tor fuhire ndditions, expnnsion, or i <br /> further nedvity relnted to or connected wilh this proposnl? If <br /> yes, ex lain: I <br /> 0 <br /> 11 Do you know of any pinns by others �vhich may affect the <br /> prope�ty covered by your proposnl? If yes, expinin: <br /> %�[o <br /> 12. Attach any other applicntion f'orm that has been completecl <br /> regnrding the proposnl; if nonc has Ueen completed, hut i:: <br /> expected to be filed ut some tuture date, describe the nnlurc <br /> of s�h/a Plicntion Corm: <br /> /� <br /> `.� <br />