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4. Agency Requiring Checkltst �I� �F E7ERETT; OsFICE OF COl�•1Tt7ITY D'c.4EIAP� <br /> 5. Neme ot Proposnl, if applicnble: . ' <br /> � ' Exnaneion ProiAct• con�tuct3on of en adiunct �nL <br /> 6. Nnture und Briet' Dcscription ot Lhe Yroposnl (includi:�g but not <br /> � limited to its size, generul design elements, nnd other factors <br /> that v�ill give an accurate underste.nding of its scope nnd • <br /> ' nature)�See Attachsent ' <br /> 7. Location of Pr000sal (describe the physical setting of the <br /> � proposal, as vrell as the extent of tne land area affected by any <br /> em•ironmental impacts, including any othe: information needed <br /> ' to give an eccurste understanding of ttie eavironmental settino ' <br /> ' . °SeePS��e��lszn' � . <br /> 8. Estimated Date :or Completion of the Proposed Action: � : � <br /> 180 d�vs i <br /> 9. List oi all Yermits, Licenses or Governmeat Approvals Required <br /> fo,- the Proposai (federal, sta:e and local--inc:uding rezones): <br /> � - �CP^!`TAT �Pno^v�Tt CS'%�'TT (`T'•rr n^ rm;c^m�+ __ _ <br /> � , . <br /> ' � <br /> - 10. Do you have ar.y plans for future additions, expansion, or <br /> • • turther activity related to or connected with this proposal? If . • � <br /> � • p�s, ea-p?ain: ' <br /> •un . . <br /> . 11 Do you knocv ot any plans bp others which may affect the ..�.I <br /> � pr�opery covered by you: proposal? If yes, e:cplain: , • � <br /> �i : I <br /> i <br /> • � 12. Attnch any other application form t`�a: has been completed � 1 <br /> ' , regarding the proposal; if none has been cortipleted, but is <br /> e,-pected to be filed at some future date, describe the n.atu-e <br /> of such applicaiion form: .' <br /> ' NONE • ''� <br /> � . i <br /> • ' 'i <br /> • - . ' <br /> , � . • .� <br /> . •..4 <br /> i• . • - . . � .i <br /> . • • . . ', . •• ' . . , rj <br /> � .t <br /> • . • ♦ <br /> . �' ' � <br />