Laserfiche WebLink
� wwvmrcnN suls otr�xt�t+r a O_ /i` <br /> �1��1 t�tNou�C►s FOREST PRACTICES �� � <br /> APPLICATION / NOTIFlCATIO� "' <br /> 1�`--1.� , I. GENERAL INFORMATION SECTION "i� : <br /> r� ro rr�E NstwuraHs ro � w n+e cow�Enow of n�s ro�. Trre o� nwr M �u�r �. <br /> ,. � « Nu� �rw i ae 3. FULL LHiAL NAAAE AND/011 a. wu �ca� rur� uo i o� <br /> COMPANY!ONISION NMAE OF OPE11AT0� ��M��'���� N� � U�� ����� N�ME Of�� <br /> MEI,VIN C S'"L•£LE �"�anTT.rlTi KFPDT.F.R ��RTTIITT KF.nDT.F.R <br /> . . �� � � oa� em ci.+ R�4 �]74 l OR*h c�n ci! _ 971 Q 1 OAfh c'p CR <br /> EVERETT, (?A 98204 EVERETT, i•IA 98208 EVERETT� P?A 98208 <br /> BUSINESS ADDIIESS ������ W����� <br /> 1131 115th ST SE B-3 <br /> �A� � �m gA� � �Ry STATE Z�7 <br /> cm <br /> EVERETT, F1A 98204 <br /> rFwNc �206 � 514 8282 ^�� � � �� � � <br /> : urixw Bwinas�d�m�n�r tw SSN A Uel I I FrYrr ler�111w a UM I 1 UdIMd\ri�w+k�ntln�r 1«55t+ q U�1 1 I <br /> SSN (� <br /> � � � � <br /> �1.TYPE OF lE6AL ENTfTY ^ TY►E Of lEOAL BlTRV TY/E OF IEAAL FNTRY <br /> l 1 CONOMTroN Q{ 50LE PIIOMIIET011 (' � f X SOLE►IIOflrEf011 l 1 �MTfNRTMD x 1 SOIE M�Ov�aEi011 <br /> I I PMiNERSNr [I OINBI UOKMrI: l 1 01NB1 UaKMrI� -- <br /> t I ot►i��w«+h�: <br /> 6, I�q�{TAX IIEr01R�NG �CCOUNT Ne: <br /> fOR TAX REPORTING INFORMATION OR TAX NUMBERS CALL 7-800�64&987� <br /> e. YKYES [ 1 No - �s TNE oPERAT1oN wRNN GTY uMfTst <br /> NAME OF CIT1f1�1: �vFRFmm� t�ra <br /> 7. [ 1 �S **NG � 15 THE OPER�T�1 �T� A MAt1C PMK7 If ya, an Emrironm�Mal Ch�cklut �s reawred. <br /> [ 1 YES $�ND - IS TFiE OPEMTION WfiMN 600 FEET OF A MLIC PMKT <br /> NAME OF PARK: — ,b. PAR'a p�LOf IM�! <br /> g �, LE��A1. SU!-0MSION OF OPEM710NIf1: <br /> SUB�DIVISION (1/4, 1l41 SECTION �P �'�E PAT�N�M ERAX. <br /> �^.n3 <br /> � • <br /> 9. [ 1 YES [��1C(Yawi Ni�Y �����D�or V�iriHeationl��TM LEnvironmsin�td ChKki si��s p�wred. <br /> 10. ( I YES [��1C NOTAE�Ivf ay � �eompNad �miko �^^�+t� C�� LAND WITtIM�I TF111EE rEARs? <br /> 2. A locd qowmm�nt cNuirW a�d�a O�dinp� ^�Y � ►�uk�d. <br /> 3. See th� uutructbM for mon informtNon to����M• <br /> THE FOLLOWINO IS PROVIDED FOR VOU11 MIFOIIMA't1GN- �f tM Fo��t P►�ctlqe�My App�� <br /> p►Nptlfk�[10B 00�4 ^�t ftit�t��' <br /> pe�mib or app�rovabcfor eonvi�isa�ta n�on-forMW �d usa�a P�d�of �ix� 101�y wors��m thi d�t�i o�^� �co��csuon+r• <br /> not�f�cation. Sa� the in�truetiona und�r ibrt► I 10, and rpul�dorn. �cl��di^Y but^°t�Mt�d to, RCW 70.09 O6C <br /> RCW 78.09.170171, WAG 222-20-010, WAC 222-20-040 �nd 424'ZO-060. <br /> 11. �f�Yessincl�uds a cop yof�h�� �P�A��T�C����� a��N�t� ���• CO P'�s.OHP17 <br /> (Fw FPA FN IMomrdon aM tM k�n+�d <br /> FORM DNR GC•19 110.9�1 � <br />