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°I• <br />��y <br />TO BE COMPLETED !Y APPLICANT <br />� <br />G proposed a�eisura [o reduce or control impacu on. «crcation, including recrct[ion op- <br />ponuniaa [o be provided bp the project o� applicant, if any: <br />��� • <br />! 3. Hl+t�ie wd Cultural Preserndo� <br />z�. Arc thcre any placa or objecu listed an, or proposed fo�, nacional. suta ar local praer- <br />vation re8istus known to be on or ne�ct ta the site? lf so, generally dacribe. <br />�.. _.. .... . ..... <br />uj uraj rt�11�rtan e known ca�be un or next oe he s ie,h���rie, archaeological. scientific, or <br />��.. ....._.... ._.. .. . . . <br />c, pr�posnd measures to reduce or conerol impacu, if any: <br />��� <br />14. Ta�p�dd� accas to tha <br />a. Idencify public streees and highways serving the site, and describa proPosed <br />exis�ing su;at syscem. Show cn site plzn�. iF any. <br />�+�tt161'fU61ra�T rt0'fH6 �i WiM' 2 dcI�11H'C( hK,1Y��' <br />g1w�V��U.� Ir�� 'Co'� k4�1" W,tT�t H� dl¢�V��I�'�f �'� � <br />�leI�E171'I'h�-�- �'f - �t�ff•'i'f�o �►ci.� . d�! ��.�.tTz'�• <br />b. I:e sita currcndY sen'ed bY Publ�c [nnsicY If noc, what is the approximate disnnce r.o �ho <br />n�st transit stop? ' <br />G �fNb. W . <br />�,-ro-r�t6 �ou�tt H <br />c Fiow many p�r1c��8 SPaca would the com leted pTojcet have'! How many would �he <br />+eet euminace?�6 pleOJl'�f lalLi� }-�' 6Ut��ri�(� r�°—:�1-� �� <br />ap,. �s-I���V � <br />�iCtoJllNEf I4'�1t-!cf �- °V 22 <br />d, Will ehe proposal requira any ne+r roads or sveeu. or improvemen�s to ezisting roa d s or <br />streeu, not including driveways? lf so. Sa��r���Y d�n� ��ndiate whetha public or <br />privace)• 6 ISP�$1't Gd171��-�b �'SLa'i6� <br />H0� I1—II°I�l�"l�hff'"� i�it'�1E' <br />��� �sl.� W�`i � ��V�HU� I��r: � <br />EVALUATION FOR <br />�GENCY USH ONIY <br />�, Will the project use (or occur in �he immediace viciniry ot� wa�er, cail. or air �ransporca- I <br />I•°,n? If so. genmlly dacribe. <br />� ` �"'�... ` . <br />� <br />L How many vehicular triq per daY Wauld he gene�� Y�h� ����& P�� � ff I <br />i <br />known. indicace wh�� � � ���°���I �hp�6'n �� '� <br />i hf f r.., V <br />G�I���d�G6L (h � r'JC✓'I'��p�! L�krf <br />