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ti <br />' 4. <br />5. <br />6. <br />. . p D ��it <br />Agen� gequiring �hecklist <br />N�e o{ Proposal, if ePPlicable: <br />Proposal (including but not <br />E�erett Business Park <br />zneral design elements, and other factors <br />NatuTe and Erief Description �f �� of its scope �d <br />litnited to its size, � <br />Utat will give an accurate understanding e�,elop�t ,,,.�'yy <br />nature) : adin€ Pl� for � <br />office-��e� � <br />f'ce-�'�ehouse �e & the rcY"' <br />Clearir�g �d .ft. of �f 1 of the <br />wliich consists of <br />[�$ 160 s h Sical setting <br />q. Location of Propos&1 (describe the P y d�,ea affected bY �y <br />as well as the extent of the lan eT i�o�ation needed <br />gropos�� acts, including any <br />e��onmental imP <br />of the en�iTonmental setting <br />�p giYe a�► &c�urate understanding <br />oL the pr�Posal) � <br />_— <br />u <br />8. <br />9, <br />10. <br />Comp <br />?'� GovernmenL "Yr• - - �rezones) � <br />List,�Permits, Licenses or a local-'inclu a� e& p� <br />Proposal (federal� statQ az' t � . <br />ior ti►e ` adin P�' ' <br />- - � r1caY]S1g & '� .,�s.,., PPYRtl.t� <br />11 <br />—�_ <br />lans for futuTe addi on• + osal'. <br />Do vou have anY P <br />further activity related to or connected with this p� <br />ygs� enplain: <br />_ �. <br />,.,.. �� <br />12. <br />Do you know of anY Pl�s °y �u.�--o <br />covered bY Y�ur pr�PpS�' <br />property *.,. �� <br />]�ylCh R18}� BLiea:a <br />If yes, e1�lain: <br />If <br />�� �lSt I135 uc•••- -- - 1S <br />other apPlication form let�, but <br />Attach anY �e Proposal; � none has been comp <br />�garding filed at same future date � describe �e n&�re <br />e�cpected to be <br />uf such aPPlicstion'form: <br />� J � <br />'. ; <br />n' <br />�.� <br />