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II <br />9. List of. all Permits, Licenses or Government Approvals Required for the Proposal (r+slor+l, <br />state and local --including; rezones):_ Building Permit <br />10. Do you have any plans for future additions, expansion, or further activity related to or <br />connected with this proposal? If yes, explain: No <br />11. Do you know of any plans by others which may affect the property covered by your proposal? <br />If yes, explain: No <br />12. •Attach any other application form that has been completed regarding the proposal; 1f none <br />has been completed, but is expected to be filed at some future date, describe the nature <br />of such application form: <br />ENVIRONMENTAL PdPACTS <br />(Explanations of all "yes and "maybe" answers are required) <br />1. <br />(1) Earth. Will the proposal result in: Yes Nav_be No <br />(a) Unstable earth conditions or in changes in geologic substructures? _ <br />(b) Disruptions, displacements, compaction or overeovering of the soil? _ <br />(c) Change in topography or ground surface relief features? _ <br />(d) The destruction, covering or modification of any unique geologic <br />or physical features? _ <br />(e) Any increase in wind or water erosion of soils, either on or <br />off the site? _ <br />(f) Changes in deposition or erosion of beach sands, or changes in <br />siltation, deposition or erosion which may modify the channel of <br />a river or stream or the bed of the ocean or any bay, inlet or <br />lake? <br />-_ X <br />x <br />X <br />X <br />X <br />Explanation: <br />Te <br />sirF +c <br />c ,:Ai JyEf <br />ASI-muT Meu1ss a2Y A1jA71c+.1 wlw ecu'a. <br />PIWXI" <br />AriD �r+A OAT CAi• <br />(2) Air. Will the proposal result in: <br />(a) Air emissions or deterioration of ambient air quality? X. <br />It <br />(b) The creation of objectionable odors? X <br />(c) Alteration of air movement, moisture or temperature, or any <br />change in climate, either locally or regionally? <br />Explanation: A+a E•+sT .JS MAY I 1BP.SE JJ Phnrncd 10 Wc"-1ffC-s 10 V(M+[ \AR rri( iit EYR 7Nf 1, <br />_i.E t C•vr.:ZY I1+vr1rD+-n OK A Cyr tf �R+r ) A-M OKLfn+6 Le'l— 1 <br />(3) Water. Will the proposal result in: <br />(a) Changes in currentF, or the course or direction of water <br />movements,.in either marine or fresh waters? <br />x <br />