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4. Agency Requiring Checklis[J `,' o� ��= I'��•`; ( �.'.�1-�PI.�(i' t/�''. <br />5. Narqe of Proposnl, if applicabl�: � <br />���G'�I�il '� :.ri• J �_1�1,I�.,�� <br />6. Nnture and Brief Description of the Proposal (inciuding but not <br />limited to its size, genernl design elements, and ocher factors <br />that will give an accurate understanding of its sc��pe and <br />�,nture) � �;,� �-;.N� �•,:; Y`'�.. 'Tl:.��I2,t•}'"r� �� /1- r.i-�• � (� �J�� � <br />f j1F.���t: i�l'.:,'�V��`' ' i'1?<.✓1>l��l,%��-, i <br />/�/G t i /� � I1:. �',, � i I "�/� ✓ Y� U-� <br />7. Location of Proposal (describe the physical settins of the <br />proposal, as well as the extent of the land area affected by any <br />environmental impacts, including any other inform�+ion needed <br />to give an accurate u derstanding of the ienvironmental setring <br />of the proposal): �+-�i��t� hNYy���( � F-�T i'�Rr�iry �'��— <br />ii� .G}�(�� i�/ �,i Grlyw% -;� ,_-r���, �r ,T?� �-rE, �;F- 'r <br />hi"f% il i�;,r.•u� !;� �''1 AG'ry� 1 I�J(.A :'il A� , I,:GL�h�� fa'1�i/lt�'• �I <br />h/A l 1^Yy E�'T1 � L�i��/ l:Ulat r'�-� (�:JG�iv� ' o,L' �.,!� � la�'i�J.l. ��L�:f�i <br />8. Esti ated Date for Completion of the Proposed Actio <br />�� � rb�� ���- �'� � ua�1�� �2�a r� r<:� <br />� �i'� C�'% �/'r�l'('L�� (. ����b.li "� : h�t�, i�G1� � r r <br />9. List of all Permits, Licenses or Govei�nment Approval's Required ���'�' ��'� • <br />ior theI Proposal (federal, state and local--including rezones): <br />?�U11I� .�l�L><=l����i; �iu�.I �-iL�iG P'Yi�tM+� <br />10. Do you have any plans for future ndditions , expansion , or <br />further activity related to or connectr_d with this proposal? If <br />yes�, ,explain• /• � <br />�. f <br />i��� . I�",: . - r•�r.:� ._....� " � �:�r� v �+ <br />�i <br />11 Do you knotiv of any plans by others which may atfecl the <br />property covered by your proposal? If yes, expluin: <br />12. Attach any cther upplication form thut has been completed <br />regarding th� proposal; if none hns been completed, but is <br />expected to �e fi(ed at some future date, describe the nature <br />o£ such upplication form:: <br />iJ - <br />1 <br />