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�� TO !E COMPLETED 8Y �PPIICANT � <br />}) proposed measura to reduce or control noix impacu, iF any: <br />�a <br />� • �s "r / ' ,. i <br />� � � ��,: <br />� � / � � � � ' � t � � q � � � � • � <br />$, l�lld ?A� S110KI�M 1�5� <br />a. Wha[ is the current use af tha site and adjacent propertia? ,�N��� ��O <br />�oMt-id�u�.t. To -t�te Nol�rt-t-�'d-lb l�h�T <br />'�j4�J 1e,1�-✓f'��'ctib I=F�.�It76tTfl�•l.r'fb'tftl��UTft• <br />b. Hu the sice 6een used for agriculture2 [f so, describe. <br />��� ����.. <br />c. Describe any swetura an the site. <br />� 'i{-t�(�6� I�✓ �ctt �iC�a3fftit°f �������1�1'U�i''�lC <br />� �UtL1�It�lEi' �t�''I�'t�' k.4�C' pDlcCtoH 4l`'C{�85tfi •'fi1'� <br />I�►�(f'clt-fb�0�"1��2CfE ly Ut�Y�&4'�(°� <br />d. •Will any swetura be dcmolishe,d? If��� t�� �� d���� <br />�� I�.yF�V.����'-'1. ��..v6 Irv <br />IT�F-+.�Cl � !� • � . <br />c. What is the cucrcnt zoning clusifiation of the sice? <br />G�1 <br />f. What is tha current comprehcnsive pian daignation of the site? <br />�Oi'fi`rE�er-+!��+ <br />g. If appliabic, whac is the currcnt siioreline mas[er program daignatica of the site? <br />t�tohie` . <br />h. Hu any part of the si�e bern cfaui[ied u art 'environmentally sensiave' area? IF so. <br />speciFy. <br />. .�1'fl't�tT' Wb �6'tdta�'V'' oF'Cb �'1'Q��'• <br />i. Appro�cimately how msny people wouid �aide or work in the wm leted ro ecc? �� <br />r�� h� ��r�o,-t r�-� �r�; � s� �� <br />�, ,�,P�ox��many pea" ple wauld the completed project displace? <br />��� <br />k. Propoxd meuura to avoid or reduce displacemenc impacn. if any: <br />I, proposed measura co ensure the ��roposal is compa[ible with existing and projected land <br />u �nd placu. if any: <br />C4111°U,+�Q-tG� 4�tTft �d.l� G�l�-�H�I"����5� <br />EVALUATION FOR <br />�G6NCY US6 ONLY <br />