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, <br /> � 9. Agency Requiring Checklist L';�y�F fy6��7T • <br /> � , ' ' � 5. Nmne cf Froposal, if applicable: <br /> . 6. Nature nnd L'rief Descriplion of ihe Proposal (including but not <br /> . ' limited to its size, general design elements, and other factprs <br /> thnt will give an accurate understanding of its scope and � <br /> . ' nnturc): ' • <br /> . _/�0.1!��i� �if�-�� T>� n�- Cv,�/��YF,ux - <br /> ' . � FU ��R i. .C/i«i � r S -�- l�ra ic � <br /> 7. I.ecation ef Proposal (descr�be tne physical setting of ihe <br /> p^�posal, as rvell as the extent of the land area affected by any <br /> environmental impacts, including any other information needed � <br /> � to �ive an nccurate understanding of the environmental setring � <br /> • •of the proposal): . . <br /> • / i ��'r� S .— �vr.�.�rT � '- - 'r-'� <br /> - � <br /> � SGJ Co�.�:L--rt nF 3f5T`' � Mc t7o�6A�� A�E � . <br /> , 8. Estimaled Date for Completioii of the Proposed Action: � <br /> . - � .� � � �n r� �z � ���s <br /> . • •9. List of ull Permits, Licenses or Government Approvals Required � <br /> for the Proposal tfederal, statc and local--inciudino rezones): • ' <br /> . • _ T���� .7 :�,r:� �r'�'m �T ' - <br /> 10. Do you have nny plans for future edditions, eapansion, or <br /> • ' . . , � further ¢ctivity related to or connected �•rith this proposal? If <br /> � yes, explain: . . <br /> . � N� . . . . <br /> . 11 Do you know of ar.y plss b� oQiers which may afCect the <br /> property covered by your proposal? If yes, explain: <br /> �j/u , . . <br /> , 12. Attach any other applicetion form thet has been completed <br /> . re�ardin� the proposal: if none has been completed, b� t is ' <br /> expected to be filed at some future date, describa the nt ture . • <br /> , ' �f such npplicat�on form: <br /> - - /��� . <br /> , . <br /> • ' . .',:::j <br /> t'.� <br />