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9'. List oP all Permi[s, Licenses or Covernment ,loprovals P.equired c"or [he Proposal (federal., <br />state and 1ocal--inc'_uding rezones) : �u. %(i�.v-- /` f•dn��'t <br />—T <br />10. Do you have aciy plans for future additions, expansion, or iurther ac[ivity <br />connected with chis proposal? If yes, exnlain: /'t �n n�s��,� � „ i' �� <br />.i�tre-%cc ., i �' / � L 1 ✓ <br />� �._ S/�eLCE' i�✓ %11�� //.,i,GRJT te�//.��.r_ <br />to or <br />.. <br />1�. Do you know oE any plans by others which may aifect the property covered by your proposal': <br />If y=s, explain:_ ,vo <br />12. Attach any ocher application form tha[ has been compleeed regarding the pr000sal; if none <br />has been comoleced, bu� is espected to be fi:.ed at some future date, describe the na�ure <br />of such apylication.form: <br />II. EWIRONMENT'L ?�ACTS <br />(Explanaticns o£ all "yes and "maybe" answers are reauired) <br />(1) Earth. Idil� the proposal result in: Yes :fayhe >!u <br />(a) Unstable earth conditions or in changes in geologic subscructures? _ _ � <br />(b) Disruptions, displacements, compaction or overcovering of the soil? ✓ <br />(c) Change in topography or ground surface relia features? � <br />(d) The destruction, cove:ring or modification oi any unique geologic <br />or physical featnres? _ <br />(e) Any increase in wind or water erosion of soils, either on or <br />ofi the site? <br />(f) Clianges in deposition or erosion of be2ch sands, or changes in <br />siltaticn, deposition or erosion which may modisy the channel oi <br />a-river or stream or the bed of che ocean or any bay, inlet or <br />lake? <br />EYnlanation• � � �9 �� ' <br />•'( Tii«� /�:�� nt c .cirr.:/ �C�- �; !:' <br />C '''' i"` <br />', � <br />(2) Air. Will the proposal result in: <br />(a) Air emissions or deterioration of ambient sir quality? <br />(b) The creation of objectionable odors? <br />(c) Alteration of air movement, moisture or temperature, or any <br />change ir. climata, either locally or regionally? <br />Explanation: <br />(3) Water. [dill the proposal result in: <br />(a) ChaneAs ±n currencs, or �he cuurse or dirzctien of •aater <br />:novemen[s, in 2�.t:�er n�rire or iresit �,.�.��s? <br />v <br />v <br />G� <br />L� <br />�' <br />G" <br />