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t, <br />�A <br />� <br />- 2 - <br />8. List :iny cnvirunmrnial infurm;uiun yuu knuw abuul ih:n has bcco prcp:vcJ, ur will bc prcparcJ. JirecUy nlhtcd lo <br />this propusal. �Oµ� <br />9. Do you know whc�hcr applic�iions �rc pcnding fur Eu�cnvn�:m:il apprnv;d. ef othar pro�uulx dirccUy affecting Ihc <br />properiy covered by your propo<:�I" If ycx, cxplain. <br />.'�'C'�•Ji�1�:IG4�t. 2� IEI� <br />� EVEIUj�J/ila,l� �.JILA11�1lJ IOGLYNii <br />10. Lls� any govr.rnmcnt approv�ls ar permits th�t will bc nccdcd far yaur propox�l, if known. <br />Sti,'. Pv�w RPAfu.i�tl. <br />��t�o r rt to P�r-.vi, ; <br />I I. Givc brie(, complcie dc�cripiion of your pro�+osal, including thc proposcd usu and Ihc size o� Ihc projcct and site. <br />Therc are scveral qucstiuns latcr in this checklisl that ask you to dcscribc c¢rtain aspecu of your proposal. You do not <br />need to rcpcai those answcrs on ihis pagc. (Lcad agcnc�es may mudify this form to includc cdditional apecific infor• <br />mation on prujai descripiiun.) <br />[p� S'j'f'�J C-'to�-i Or 6�t'Inw Gi:bt �'�G(L 17'� W�''� P!`�,w�-��' <br />l�'N/� ��rvp S c.yfA I,�Ca —�-L'��o �0 L-2 o r`� t�i l Sri 1�It� No�sC w,C. <br />�(Yl� ( un�or.n. Ic(�az nrz Pc,:.M ,' <br />12. Loc��ion of the propasal. Gi�e sufficicnt information for n person lo undcntand thc precisc laation of your pro• <br />posed projec6 incfuding e stree� address, if eny, �nd scction, township, and range, if known. If a proposal wnuld acur <br />aver a rangt of area, provide Ihc range or bounJ�rics of thc sitc(s). Providc a Iegal descriplion, site plan, vicinity map. <br />and �opographic rt�ap, if rcasonably available. \t'hile you should submit any plans required by the agency, you arrnot <br />required to duplic�te maps or de�ailcd plans submi�tcd with eny permil appli:alions rclated to this checklist. <br />I S Z� Y I S Z2 � 1 Z 5`, SW, � L'�/C�� i, / L�14'hT" Oj� P��/'�C F; �/ <br />� <br />TO 9E CO?IYLE'. ED 01' AMYI.ICAFT <br />B. E\VIR01N[VTAI ELEAIENTS <br />L Eanh <br />�. Geneial dcscription of thc +i�a (circle one) <br />whcr � <br />.` � st,� �:�7 st,�r� <br />Flat, rolling, hilly, s�ecp slopcs, mountainuus. <br />� > Cu�?! <br />b. H'hut is �he stcepcst slopc on the site (upproaimate percrnt slopc)? <br />� �lD (iVlO STL� 2. I Z ,1�� <br />� <br />EVALU�TIO\ FOR <br />AGENCY CSE O�LV <br />