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� . . .. . ... ..... . .. . . .. . . .. . .. . . . �.. . � .... <br />.... ..��� �,,,�.�,n.�i ��oncr;il .. <br />RC1ilU C � --'___'."_'_____-y--.-___"_ '_"_""'_'_'_"______"_ <br />;md ]oc.i]--iuc]udJ.n rc•r.��nc:. . 1. Riqht o1= W�...�`�� e. a��xldin�� permit <br />]0. llo you hnvc any pl,�ns f.or (ururr, addicions, c>:pan:.ion, or furchcr :icCi.viLy rcl.a�cd Lo or <br />• connecled wi[li this propo::al? lf ye:;, e>:plain: No -- ------ ---•-.---- <br />ll. Do ynu kno�.� c�f ;my plans by .oChers �:hicl� ruiy aff:rcC Lhe proper[y c�,vered by ye�:n' pr,ipus:i]? <br />] f ycs, expl a i r: N� --- ----- ----------- ----- <br />17.. Artach any other nppli.cation forio Chat has been coaipleeed reLaidinf; c}�e �,roposr�l; if none <br />has.bcen crnapleeed, huC is e::pecl�:d to Ue filed aC �ome future date, descriUe tlie n.�cure <br />of. such application form:_ _None rx��cted ------------,---_- <br />� <br />rNl'IRO\:•fEti 1'i�L I'.•iPAC'CS <br />(1>r.plsnations of all "ycs and "mayUe" ans�:�crs are required) <br />� Yes <br />(1.) tiarth. l•lill the proposal resulC in: - <br />(a) UnscaUl.e er.rCh coiiditions or in changes in f;eologic suUsCr:icCin'e::? __ <br />(b) Disnipcions, di.splacemenCs, co:npacCion or overcuverin� of Cl�e soi7.? X__ <br />(c) CL�nge in Copo�r�ph� or n,rou»d stu'facc rcli.ef feaCure:;? >--- <br />(d) Tl�e destrucCion, co��eri.ng or u:odif.icat.ion ot any unique �;eo]o�i.c <br />or physical. features? -- <br />(e) Any increaise in wi.nd or walcr erusion of soils, ciCher on or <br />off thc sitc? -- <br />(C) Changes in dcposition or crosion ot boach sands, or cliann,es iu <br />siltacion, deposition er erosion �•:l�ich may modi.fy Che cl�nnnel oc <br />a ri�er or s[ream or che Ued of Clie ocean or any Uay, in1eC or <br />lake? ' — <br />1•ia,�be ro _ <br />•-- -�'�- <br />-- -X <br />- - -�- <br />X <br />J;>; ]anation: B_ Grading For street e>;tentian _ ___ <br />--�---- — -- " <br />C_Grading For •�j:rset_cxLcti:�.nLl-Elp�-LStLLclinri�l�<<-----------' <br />(2) Air. 12i11 Che pi'o,�osal. resulC in: <br />(a) Air emi::sions or deCeric�r�tion oP ambicnt air qual.ity? <br />(b) The creaCion of oUjecCionable odors? <br />(c) Altcration of air r.iovcrient, moisCurc nr lrmperat.urc, nr a»}' <br />change in clim:�te, either ]ocally or regional.l�.? <br />r,planacin„: ---- — -------------------- <br />� <br />(:i) 1?aLM'. ldill. CLc propos�l resulC i.�t: <br />(a) Ch;�n�t�:: �n cin�rcnes, or tl�r coursc or clirccclon af. �aaf.es k <br />inovcrii•nC:;, �n ci[hcr rcu-ine or fresh waCc�:;? -- -- --- <br />