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4. Agency Requiring Checiclist Gf I"Y di"''^ I-'`•`��''��" <br /> 5. Name of Proposnl, if applicnble: <br /> GC�1-1CaICr,: FDv �'���{^,r�nv, "1rGtti)p�G <br /> G. Nature nnd L'rief Description of Ulc Prnposal (includin� Uut not <br /> ]imited to its size, general design elements, and other factors <br /> - that will �ive nn accurnle understm�ding of its �cope nnd <br /> nnture): <br /> Gh�r�h GA����IF.,7t O�"1 a�=�.a•�Gt^4�T i'( EUtJtGl�" <br /> � r.ZV.:� E�GrIVJ G'GY� G✓ .'�v Ea. i=te�1;,r'1 ('�::� GI V:V�, . <br /> 7. Loc3tion of Proposal (descriUe tlic plrysical setl�ng of the o <br /> , proposal, as well as the extent of the lr�nd nrca nffected Uy any � <br /> . environmental impacts, including any other informution needed r", <br /> to give an nccurute understanding of the environmental setting � <br /> of the proposal): �' �" <br /> ••. 1 �a��!.�: of• c�:-���<.r��t . �r, a � -�i <br /> � ��G3YCC1 �- �t3� , <br /> in x <br /> ��' 7�.0/�(' NL���'IGIS��U f�F..3•iG{C}'1:"U^w1 i:�:•.:�:t. W� � m <br /> 0 <br /> G��alic. GhvYch co:'�,S1i�.t :r� ;�+^.cc;f�i����7e mo <br /> 8. Estimnted llate for Completion of the Proposed Action: 0 3 <br /> � ^"aj��G'u�1��i -� z <br /> 9, List of tall Permits, Licenses or Govcriiment App_ovals Required ,�_„'' <br /> for the Proposal (federal, state and local--including rezones): � z <br /> � (�{{� oF �UGv'Gµ- b;�dclrwc� .r=r'''vl" � _ <br /> • �� <br /> � � <br /> „ <br /> oz <br /> � a <br /> 3 <br /> . 10. Do you hnve nny pluns for future additions, expemsion, or -' �" <br /> , further acrivity related to or connected tvith Uiis proposnl? If o in <br /> yes, e . <br /> Gi.`''�ilb{C:. P.�G�GY�I� �'�dU�� � 3 �Ni+ <br /> m <br /> \` z t� <br /> A�� -- � fr+'I <br /> a <br /> 11 Do you ]rnotv of ztny plans Uy others which mny t�ffect the A <br /> property covered by ynur proposal? If yes, ea-pinin: a <br /> No Z <br /> — � <br /> _ <br /> 12. Attnch uny other npplication form U�ut has Ueen completed v+ <br /> regardi.ng Uie propocnl; if nwie hna ueen completed, but is o <br /> expected to be filed at some future date, describe the nnture '-' <br /> � <br /> of such npplication form: "' <br /> N or}� <br /> w. <br /> � , � , � � <br />