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• 9. Agency Requiring Checklist Cir{ �{��.pci. ��AT. <br /> 5. Nnme ot Proposal, i[ o�plicnble: <br /> ` Wnrz.»NousG �xaG. � <br /> G. Nnturc und L'rieC Ucsci•iption of thc Proposnl (including Uul not � <br /> limited to ils size, genernl design elements, ❑nd other fnctors I <br /> tl�nt will give an nccurntc undcrstanding o[ its scopc and , <br /> nnturc): <br /> Co cwc� ZIP l�,of�'f+t,usE — <br /> 7. Location of 1'roposnl (descriUe llic physicnl selting of tlie <br /> � proposnl, ns well ns the extent oC the lnnd arca nt[ected by ony .i <br /> , environmentnl impacts, includin� nny other intormntion nceded <br /> • . co glve nn accurnte understnnding of the environmentnl setting <br /> of the proposnl): • i <br /> S�� P�,..[s w2 -r�,t� oc. au�. F' gr,c R,�.� <br /> 8. Gstimoted llate for Completion of the Proposed Action: i <br /> I�o•C PIr2Y <br /> 9, List of ull Permits, Licenses or Government Approvnls Required <br /> for the Proposnl (federal, stnte nnd local--including rezones): <br /> C�—�t oF� c�+cttYt�T ib�i�.�y.lcT R�2m�T • <br /> ' �; <br /> � <br /> 10. Do��ou huve any pinns for future ndditions , expansion, or � <br /> further activity relnted to or conne�ted wiU� Uii:: prcposnl? If i <br /> yes, expinin: � i <br /> �O <br /> 11 Do you knotv of nny plans Uy oUurs which mny uffect Uie <br /> property covered by your proposal? If yes, explain: <br /> h�L — <br /> 12. Attach nn}• other npplicution form U�at hns Ucen completed <br /> regarding the proposal; if none hns Ueen completed, but is <br /> expected to be tiled nt some tuture dnte, describe lhe nature <br /> of sucli applicntion•form: <br /> t��i��t /r_ PL-�2M�i �4PPLlc�o�-�tv� <br /> ' 1 . <br />