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1 <br /> , . �. . .. , . T <br /> ; � � . . . � , � , . , ' <br /> . . / <br /> ��/ �� � � <br /> 9.. Agency Requiring Checklist �j-✓ �� ��s-���� u N���=).�'�T�' <br /> 5. Nnme of Proposnl, if npplicable � <br /> 6. Nnturc nnd Brief llescription of the Proposal (including but not <br /> limited to its size, general design elements, and other factors <br /> that �vill give nn uccurate understanding of its scope und ' <br /> nature): <br /> T'-'�. �:- •t;' ,'„-r.• �'y,ti, .; .. � ,, <br /> r. . :� � <br /> ?. Location of Proposal (describe the �liysical setling of tl�e <br /> proposal, as well �s the extent of the land uren nffected by uny • <br /> enviraimentll impacls, including any other information needed <br /> to give an uccurnte tmderstanding of the environmental setting <br /> of t/he proposal): <br /> L1:�%� �� � ��)~ C�.�iy„/l�� �,-��i�C.Y �,� � <br /> �. �� .Y�i . n t �/�' ;i ' ,���� / . <br /> � <br /> 8. Estimnted Date for Completiun of the Proposed Action: <br /> 9. List of all Permits, Licenses or GovernmentApprovals Required <br /> for thc Proposnl (federal, state and ]ocal--irrcluding rezones): <br /> ��� .: � �•.:-•, ,� ,,,:� n <br /> i <br /> 10, Do you have any plans for future ndditions, espansion, or <br /> further acrivity related to or connected w:th this proposul? If <br /> yes, explain: � ' <br /> • —�� . � <br /> 11 Do you know of any plans by others which may affect the � <br /> pr�� covered by your proposal? If yes, explain: <br /> 12. Attnch pny other upplication form thnt has Ueen completed � <br /> regnrding Uie proposal; if nonr. has been completed, but is <br /> ' _ expected to be filed at some fuiure date, describe the nnture � <br /> of such applicution form: i <br /> � \ � <br /> ' • ; ', ,� i . • ' <br /> , l . <br /> . . <br /> • ' <br /> , . <br /> , <br /> ' � I <br /> ; <br /> , , <br /> r � <br /> . � <br /> .... <br />