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a V <br /> � <br /> � . __..._t,.�__T.s.._ . . . � ! <br /> J . <br /> . •..; .�., .�... ., r.... . �. . . t � �.: �� � ��•- <br /> . �.��. �._�.^�1•.n2: �rli�� �.�.t,^. ��il\7 Gli:..`C47tA 1 lV.l^;1' .. C•� �. i�.� <br /> (t�„�p;cr �:�.�,1C � :tCi'� , i•cc;uires sll st.:tc uncl la:•�l �o;c:•r.�,ici�lnl . <br /> � <br /> ' f.�Ci)C1C: i0 C41?:i:tiCl' C)7Y:7'itiL7.C711�:� \'B�UC+ �Jhil) iOp iliCli` GlYll • <br /> • r.�tio�is .�nd ��rhen licensiz:;; pri��:te prupnsals. The /tct ��?so . <br /> :�• ., • <br /> . 2'i'Cl:l�CS t�H+t .^.'.1 1:��J lli jJ:i7i1�Q(1 iO^ i!'�1 i:i';JC.1' a:.^.iiL`:1S o: .tiJi.11u)• <br /> c:tfeciing ti:c qunlit� of the cnviro:z: :.iit. 1'he pt±rpo_=e uf �Lis <br /> Ci:rc•_i:�lSi )S Tt7 ::C�2 ��:P. :�.�;C•Il:)L'8 i::\'C��:'.� Ct:;4?'ii:l::�� 1':it."1'.)�]_P OP )lOt . <br /> . C �il`Qp0.81 )S S:ICT? 8 Ti�GjCP I:CiIU)l. <br /> i=:..:6t'. �:1:.1•'�l` .f:.5 tU.i'v.� ll]o CjliC5ii75:5 2S C�h':y��:iCl� c5 'y'G1 C211 - . . <br /> ��:ith the i.ntormatioi� pres:ntly availaUle toyou . 1'�herc e:;pl.^.n�tions <br /> Ot \�Oi1P 51:5?:C:�S 'JPe requireC�� OP i:11C1'C )�Oil UCIiP,Ye mt e::�)anation • <br /> 1'-:Uti�Cl UC }i_�J;',71 i0 �G��_`I':1'ii::pi (iCC1410i1 L1::�:C:'S. ]11C:iiG.'. 'j OUT <br /> e>:planation in the space provided, or use ,dditionnl pa�es it , <br /> necess,iy. 1'ou should include rcferences to <^.�ty reporis o: studies <br /> o: wh:ch you are a�•rare and �vhicli nre rclevant to the ansx•ers you <br /> provide. Complete .�ns�vcrs to tiiese questions not���vill help all <br /> . a�encics invoh•ed �vifh your pronosal to underi�^.ke the required ,' <br /> � environmental rcvieiv �vithout unnecessaiy dcl�y. . <br /> ' The folloivin� questions apply to ��our .utal proposal, noi just to the � <br /> license for t�liiclt you are currm�tly �l�p3ying or the proposal for <br /> �•,hicli lpproval is sought. Your ar.s;;.ers shculd it�ch�dr. tlie impects ' <br /> �shic;i �•�ill l�a caused Uy you: proposal �vhen ii is co:.�pletec', . e��e�� � I <br /> though completion m:y not occur wilil sometime in tlu• ;uhi:•e. This � <br /> �vill r.11oi•a tQl o: the agenoies ti�:hich �vill Ue in•r�l�•ed to cornpleie � <br /> !}lC!11 G1V710ililiClltll 1'a^.V1CN 1701V� tivi,hrat duplicating papei`P:OP}: )Il � <br /> • t�]P PUtU1C. ' I <br /> rOTG: This is a standard furm l,ciug ttsed Uy all state and local � <br /> r.gencies in thc Stale o[11'ashi:i�.or, fo: �:arious types of piroposals. <br /> hlany ot ihe o,u2stions tnay not apply tu �°our proposal. If a ouestioii i <br /> does not applp , just ans�ver it 'hio" a�ld continue on to the nga:� � � � � � � � <br /> question. ' �� D I I i <br /> r;��viao�„iL:��r,�i, ct»;CIiLIS�r r•on�� . AUG 29 1979 <br /> t. �nc�ccxot;�n CITY Or �VEIt�TT � <br /> Planning Dept. <br /> 1. Ttune of I�ro,�inent ._,IQhn�._liushes <br /> 2. Actdress r�nd Phenc ;:umber u; 1'ru�oi��:nL• � <br /> 2109-19th Street � ' _ _ . � <br /> �erett, Wnshington 98201~ <br /> 25oJ012�__ — .� <br /> 3. U�tc Chec!clist Submii(cd _ 8-23;79 <br /> � � , <br /> . ....�. � <br />