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• c.• • ,;, -- ' �� �,S'�0•00 Fee RequlreA) _� <br /> �•'• ' , , . <br /> �. , `� <br /> Lzsro.luction: ,�The �State Envlronmental Policy Act of 1971, Chapter 43.21C� RCSJ, rpqul.res ell <br /> at_:e nnd local gov�rnmenCal agencies to coneider envlronmenknl valucn both for theis orm <br /> _rrtons ;�Rd:vhen 1lcansing private proposale. ifhe pce also requiree [hat an EIS �e pcepared <br /> :: all ma,for actions;Bignificantly affecting .tiu qua],ity af the envi.tonaeat. Tlie purpocc <br /> .i thie checklist ie to help the agenciee invo�ved detarmi.nc ahcehez� or not a propoeal ia r.uch <br /> a xt�or aetion. . • : . ;` ; ' <br /> •Dl.teae ansv�r the fol].oNiag questions ae co�platelq as. you';can aith [ho infocnation pznseatly <br /> ^r-tlable to qou. 1�ttere sxplspatione of your m�evoca axe required, cm�Mheire you be).leve an <br /> .zpIanation vouid be 6elpful to gwernm�nt deciaion makera� i.nclude qaur srPl.arution• Sn tLc <br /> i�aee prwided, or vse addi�.iooal pages if neceeeary. You fll�ould includc references ta anp <br /> •�urtn or studies of �+hich you ,asa avate and which nre xelevant to the anewere you pr.av7da. • <br /> �a.plete nnavera to t�heac queetiona now will help all agencies iavol�red vit.h your proposal . <br /> � . i�3nrtaka tha rcqu�zed environmental revi�v'yithout unAcceesary delRj;r <br /> ' ,:•.. , _ . .. . . .. . � . . � �, <br /> :. fulloying que��ioni.apply'to,yous tatal proposal, aoC'�ueC Co thp lic�nae for tahich you <br /> . . eurrently applying or Cha propoeal for vhich:approval�ie eought. Your`aascresa 9hou7,d • <br /> � �.lude th� impacte which.aill be cwsed by your propooel. yhen it ie completed, even Chough <br /> r letion may not occur �mti,l- eo�etiae in the futurn. • Th!'ercdll a11oW all of the agenciea <br /> r ' ': vill b• invulv�d �to complate thcir envi�oaamCal revieW nw, vf.thaut dupl�caWag .. '" � <br /> G. vork in the future. _ . : �', •x"" <br /> , • � . . . .. �i' .�»1!S�LI%C. nr.��;y � �r: ,,rl'. . •'; � . ,.�.,�, ... .�:] <br /> r : Thi� is a�etandard fosaMbe�.in�g u�ed by a�l`it�ite�m�(+l�r.al ageacioo"i,n the SCate of ' � ' <br /> t •.agton'foc vasiour types of propoe�ls.. ILii�'oL` ��� QuaptAons may npG apply to your proposal. <br /> 1 r;uaetion does not apply, juot �newer i� "no" euct conCinun mt to t'ha�next(�l,c��� n � �5, � <br /> '. . ]tRSENTAL CttECKLIST FORH '�',, a ;.; 1 ` I �� <br /> q ,,;.: ' ' , 1 ,� lJl1 � , ll � <br /> I ���RCAOQND � � �.1 � f�'• ' rY'�: . i' t � �.1. �.�. Jfllil�. � �����:`7•:.;t <br /> .n � � � ,;: � ;'•� � . <br /> ` :�. Hm� of Yroponecu �;� r+ �r��ni�� :�.��` $ ; ' ,•.� •� � .CI•TY� OF� IsVL'.[tt��'7f <br /> .. Addres• aad Phone Number 'o! Yrpl�onnaCs ' . ' �G p��' ��j; <br /> 2�3-45f 3� .�Te�, �i,-�rs JI��.Z�ut�,�� ,e, �Ki�c�anp+ w�, a - 8za�it�s�;' <br /> �. Dat� Checkliet Submltted ��2'�O" 'L( yR R. .�.: ., 'n•t • „ . . •t•� ST • ... .;: <br /> .. llg�ne� Requiring,Checkll�c , IWIj�_,�;�0[�},(j�,y��PT G11'x„01� I��ERE'f7" ' � : ` <br /> •�. N.�s� of Proposal, if applicable• . .. " "'''�'_ . . , �^' �:�"•_ <br /> •�.�.�.��...�..--•---......T ..�...�.�..,�� . <br /> �+ . . �. <br /> . . . . . . . . . :I.,. . . .� . <br /> :. Na.ura and Srief De�cription oP the Proppell;.(iac],vy��qg Uut not limited to itq �niza� ,y;j <br /> den�ral deeign elemente. and othor factor�. ChaC v�lA,giv� au accurate uuderetand3ng • .,�>� <br /> oY ite scopc and nature): /t 142 � PICOcIFG.� .0 �71�_.�` - " <br /> u N I1' GD.URt i1 �r <br /> �•UI�DIN� G�RO�PS ,�gC,�}_ O D �,QStJf�! GnURT A�C,�/1 W/ PARk.lht 7dl 4fl�J ��" <br /> _O�ThIY� OF 4ROUP� 7N7,RR. 15 A LARqE. 12EG�,LEA{jYON AR(LA tilf'Rts/R�AfiIaN ��Q'��s <br /> -r------. �`�+! ..�.. <br /> . Location of Propoeal (describe the phyeical eetting o�, ih� propoeal; ao vell rii��the '•� � <br /> a:ctent af eh� laud area alfected by any.onviioameatal i[mpacte, including'any othar � '�� •, <br /> infucmation nceded to give an ;acurato mideceCandiag of� the emriranweatr). unttisip`of ':4 <br /> �ha propaeal): tr+l�� hl7&., I�S A�G�UT 4,9 �}GI2�5 .4Nf� ��S �12EALITIV�y ��r" •. <br /> :�,� �oM� rR�d�S � Sm,4w ,���.f� .b�� <br /> . . . , . ; <br /> '•c. ??ezimated Date for Comp]etioa of tha Fropoeed AaClon; _�_f���,,,�„�],Qf�� <br />