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�� <br /> 4• Agency Requiring Checklist c n �<-D�' ���� <br /> $. Neme of Proposal, it applicnble: . <br /> ' 6. Nature and Brief Description of the Proposnl (including but not <br /> limited to its size, general design elements, and othcr factors <br /> that will give an accurate understanding of its scope and <br /> nature): <br /> ' ��S�v nl-i)� -_!1C-oo 's�£� r/oa.0 y,�.rtf� ��lY-c <br /> 7'__.• <br /> 7. Locution of Proposai (describe the physical setting of ihe <br /> proposal, as well as the extent of the land area af[ected by any <br /> environ-nental impacts, including any other information needed � <br /> to give an accurate understanding of the environment�i setting <br /> of the proposal): . <br /> �t/c✓ C�•�tis� �ihit.� �,n�nncE - L •- r�7t ' i�v "Xizc �" <br /> 8. Estimated Date for Completion of pthe Proposed Action: • <br /> � �c+in/frfi•,� .1.� l7 c -h dLOr f�ncF Lra,�c' / /p7.� <br /> 9. List.of�all F ermits, Licenses or Government Approvnls Itequired <br /> ' for the Proposal (federal, state and local--including rezones)r <br /> �tnc. l�L,,..r B..%c F/�� iJi•a c fs..�r.i <br /> • _ l��Li� A� -1 �r/�a .'���f�� /7TAin Tl" , ' <br /> � . <br /> l0. Do you have any plans for future additions, expansion, or <br /> � further activity related to or mnnected with this proposal? if <br /> ' yea, explain: <br /> __�D�Jr��)[% r� lv,� r �^_� F/•�.� - f� D� �� <br /> � _ r�T f_ i<T.�J C A�_� M o� T �l/c�T_�1" <br /> Pc'� Ac:�,�r dt�1.�, r <br /> 11 Do you know ot any p9ans'by others which may affect the <br /> ' ' property co��ered by your proposal? If yes, explain: <br /> �� , . <br /> 12. Attach any other applicalion form that has been comp]eted <br /> regardin� the proposal; if none has been completed, but is • . <br /> expected to be filed at some future date, describe the nature <br /> uf such npplication form: <br /> ,dotit C�r� K�v w�FA�F <br />