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' • , . . . <br /> � � � , <br /> • 4. Agency Requiring Checklist `'�`� d�/T <br /> 5. Nnnme of Proposal, if appli/c�qble•" ,� <br /> �• Cir„-.,r.-��_�e,<.� `�t�..�-�-c�:t-�r�, . <br /> 6. Nnture tand Erief Description of ihe Proposal (including but not <br /> . • . limited to its size, general,design elements, and other factors <br /> - - thnt will give an accurute understanding af its scope and <br /> ,� �p�nature)� /Oc�oo p��-.�-.e./�— " � � —ea� <br /> �-�/'r`c"'�fi "" c�--c Q' `--<-�1 �iC- r'/ •�Kt�I�'t�-a1J�� � ' <br /> �� 7. Locntion of Yropos�l (descin"be e physical setting of the <br /> • ' proposal, as well as the extent of the land area affected by any <br /> ' environmental impacts, including any other information needed <br /> . t,o give an acr_urate understanding of the environmental seiting <br /> of the proposal): �`. /� <br /> � . Q o:r,fc....-7L � �.�'.cs--.-� .�.2. .. �o �S'r" �'"c�4�� �` � <br /> 8. Esrimuted Date for Completion of the Proposed Action; <br /> . � �'�v�-.�.-C' / !7 � <br /> .3. �List of all Pcrmits, Licenses or Government Approvals Required <br /> ' ' for the PrQposal_(federal, state and local--including rezones): <br /> ���-�-==< < '�-»--�" <br /> �+ r . <br /> 10. Do you`have any plans fo^ fuiure additions, expansion, or <br /> , ' ' further acti��ity related to or connected tviUi fliis proposal? If <br /> . yes, explain: <br /> , �� <br /> 11 Do you know of any plans by others which may ai'fect the <br /> property cocered by your proposal? If yes, e:cplain: <br /> • ��� . <br /> 12. Attach any other upplication form thaf has been complefed <br /> ' regarding the proposal; if none has been completed, but is <br /> expected to be filed at some future date, describe the nature <br /> of such applicntion form: <br /> , . . . " ' . <br />