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.��.. .�. . _ . - <br /> i <br /> i <br /> '4. Agency Requiring Checklist G�/Ty OF .�✓Er+.ET7 <br /> . • 5. Name of Proposnl, if applicabie: ' - <br /> �Di7�oKs � acre.c4�rious ro BEH�n' F�,U.�,r� �rL� <br /> 6. Nature nnd Brief Description of U�e Proposui (including but not <br /> • , limited to its size, general design elements, nnd other factors <br /> that wili give an accurate understanding af its scope and <br /> . nature): <br /> , '� 70ri. Tc� NdTG f UIC.piK6 DESIGN � <br /> G�DAQ_ SioNF (� t u-r ��EVdTloK �O q(��� o <br /> 7. Location of Proposal (describe Qie phystcal setting of the <br /> proposal, as well as the extent of the land area affected by any ' <br /> environmental impacts, including any other i�iformation needed • <br /> to give nn accurate understanding of the environmental setting <br /> of the proposul); <br /> _�O PJrTiOnF IC Gu Tr�E C�u'tlr- �f D� C`F � N � <br /> EW571N Purt.. i � ;f i�y � — • <br /> ��tFT i' I�I � 1�knrlfl uPN 71ST � <br /> . 8. Esrimated Date for Gomplet�on of the Proposed Action: � <br /> _r2� D,�YS st�;^P�� l'n�rcY:t���-f�C`r.[ P�rL!`1iT If �SjUEQ <br /> , . 9. List of all Permits, Licenses or Government At,provals Required <br /> for the Proposal (federal, state and local--including rezones): • <br /> , SaENEH-l.L CnucYu��c`t�Gnt iTv .,e �'��,�r7T • <br /> _��-EG �F_.vtr�� 7_ � -�7`f ' 67C G�R�rrT- I '�' <br /> . . a� <br /> • 10. Do you hav+ any plans for tuture addi.tions, expansion, or � <br /> • further uctivity relaEed to or connected tvith this proposal? If � <br /> yes, explain: . , <br /> . � Q . <br /> ,� 11 Du you knosv of any plans by others which may affect the r�� ��y <br /> property covered by your propos:il? If y.es, eaplain: '` ..�';,�, , <br /> — � � . • <br /> � '� ' '� , <br /> • -.�zi^�,` ; <br /> 12. Attncti any other application form that has been completed " <br /> ��, <br /> `K}' ` � <br /> regnrding the proposal; if none has been completed, but is ''r�s'�,r G <br /> expected Yo be filed at.some future date, describe the nu;ure i r "� � ' <br /> • . of such applicntion form: , � <br /> - �t� ! "y 4�, <br /> _ . i �.',, <br /> 1 , <br /> I <br /> . ' � { <br /> � <br /> � . <br /> i <br /> � _ 7 <br />