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4. Agency Fequiring Cheeklist G i rcf oF 6ve�-n- �,�,p� ��._ <br /> 5. Nnme o[Proposal, if aj,plicnble: <br /> 6. Neture und Brief Description of the Proposal (including but not <br /> limited to its size, generul design elements, nnd other fa�tors <br /> that will give nn uccurate understanding of its scope nnd <br /> nnturc): <br /> �O UNiT'te�NGbM�u-lhJ'M 3 S1D2Y t Bv�.T G/�R44E <br /> �.- /�•RE�. 2/�+0o s�t 9«.�o SF narac� <br /> 7. Location of Proposal (describe the physical setting of the <br /> proposal, as well as the extent of the land area affected by ony <br /> environmental fmpacts, including any other information needed <br /> to give nn accurate understanding of the environmental setting <br /> of lhe proposal): <br /> cvrne.r 32"`-� E Col6 Ih (2-S � , t <br /> - Io Q ' Co <br /> � a �}�. <br /> 8. Est ate Date for Completion of tne Proposed Action: <br /> d.Kuavc.j ►�17q <br /> 9. List of ul) Permits, Lt6enses or Government Approvals Required <br /> for the Proposal (federal, state and local--including rezones): <br /> �cf�G� c� �vy,���.�j — �-1l� Pvrr}Z�7t't') <br /> .f I c�+r�ca1 E oturn b � ' . <br /> 10. Do you have any plans for fu:ure additions, ex�+ansion, or <br /> further nctivity related to or connected tvith this gropossi? If <br /> yes, explain: <br /> PI.o <br /> 11 Do you know of any plans by others which may atfect the <br /> property covered by your proposal? Ityes, explain: � <br /> '�O i <br /> I2. Attach any other application form that has been rnmpleted <br /> iegardin�; the proposal; if none has been completed, but is <br /> expected to be filed at some future date, describe the nature <br /> of such n.pplication form: <br /> ..�. <br /> � � ". . . . . <br />