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A . . . . . <br /> 1:.• e...J 7�11:' C:..r • . irl f • <br /> .. ��?':i._ :.�1Gi:: �.�:: J.ii�::'6I�.::C•liui I�l.'_Cj ..::: G� �:'il� <br /> Ci;up,tr !3.'LIC , RCi'�, rcc;uirr.s ;:1] st.:ir_ ;,:�c: ]cc..1 �;o;c: .�.�,icnial <br /> � ,f..,^�Ci1C1CS t0 iqll$:f:.'.'1' UI'I�:i'Ui1iUC77��:� �':1)liQti �lU:ll iOC i1lQl� Gl':Il � <br /> � r.�tiors anci �:�hen liccnsinn priv�lr, prc?o;oly: . 7'iic Act r�,-o . <br /> r;•cu;:es t'.�;.t an ]sf5 L� i• ' .:: y <br /> f :cp��ed ,o:• 1 r;r:;cr ..��ic�:is �i ;.:i:`:or.n.l <br /> effeMing tii� cunlil5� of ihe cnviro:ttacnt. 1'he purp��se c"�his <br /> . <br /> ci:�c,;lisi is t�� .:c?� t':.. �;c•n:,__ .:::�u:•r=:' ,;.:cr;::i-_ ,..:...+er or not <br /> - p liPi�iiO_fcl ]5 St)C?'. 2 fAC;^P C:Ci20:1. ' <br /> _.,. � . <br /> r.c:15� .".t::'.:eL' ::::: IU::'v.,ill� CjLC � �-:...+ - C�.11 <br /> o Sl_O:S cS C�ia.�aGiEl� c� �G�1 <br /> t:�ith the information presenily avei?2Ule toyou . �';herc .r_:•_�l::nations <br /> of yoar c..r.s;:e.s �re rei�uired , or •���hcre yc:i L• eliere r�n e:_p)snztion • • <br /> 1•:illi�dUC :?^�7ili� i0 �G�C•_1':If:011t CC9i5:0IIL:�::c2'S, 1P.::ii:C:: 'jOiil <br /> explanaticn in the spzce pirovided, or use additional pa�es if <br /> necessat�. lou should inclurie references to a�iy reports or studies <br /> oi n�hich pou are ar�are and :chich are rele-,�ant to the ansivers you <br /> provide. Co�:plete anstvers to ti�ese ouestions now'�vill help all <br /> • . agencies im�olred i��iih your or000sal to ur.derial:e the :equired • <br /> environmental reviezv ti�riihoif unnecessarp delap. <br /> ' The folloiving qucstions aoply tp your total proposal, not just to the ' <br /> ]icense for irhich you are currentlp applyin� or fh� proposal for <br /> �vhich app:oval is sought. Your zns;.;ers shculd inc:ude the imnacts ' <br /> �shich t•rill Uz cuused Uy you.^ propcsal ��,nzn it is co;apleted, ei�en <br /> though completion m�y nof occur witil so^�etime in the fuhzre, This <br /> �vill r11o�v all of �he 4gencies ti�:hich will ue invo:ved to comp:ete <br /> • iheii• environmental re��i�;v notv, ;��ithout duplic�ting panercvork in � <br /> •, the future. • <br /> 2:OTE: This is a standard form Ucing used by all state and local <br /> egencies in L'�e State of It'eshington for earions types of pz•eposats. <br /> Aiany ot ihe o,uestions may not apply io �-our proposal. If a auestion � <br /> does not apply , just a�isti:er it "no" and contint;e on to the next <br /> question. • , . <br /> E,�'IRO\;dE\TAL CIiEC[CLIST POR1i <br /> I. BAC1iGROli\D • <br /> I. 2:�ne of Progon^nt ''.iciiael �, i�'cL•z�n <br /> . • 2. Address and Phenc P:umUer of 1'iropor,+.nt: <br /> _� ;1� S�7 �;'51�, r �„�}�c'_:ttl� . �F1 d6 ?a?—��C�8 <br /> 3. Aate Chec�cl�sl Subm�ited :1_�*•il 1�� , 1�)'j� <br /> • , .. �-� ' <br /> � M . <br />