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�. List of )I1 fermi ts, Licenses or Governn►ent Approvals Required far
the fropo%al (I'oderal, state and local -- including re,,ones) :
Approval of preliminary plat and final plat design? right-of-way
invasion permits, building permits, side sewer and water permits.
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10. -Dohave any plans for future additions, expansion,.or further
,.,
,you
act iv.i ty .related to or connected with this proposal? I f ,y,es,
explain:
No..
II. Do you know of,any plans by others which may affect the property
covered by your proposal? 'If yes, explain:
No.
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12. Attach any other application form that has been completed regard-�`
inq IIiv 1)rt)pw,aI; i f none has 1)l'en comp It'Il`ll, but 'is expl'l:lcd tl) be
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I'i )loll .)t ylinu` I'uturl: dale, .describe the nature of .such appl is+ition
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form:
Application for preliminary plat
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1 1 . ENVIRONMENTAL IMPACTS
(Explanations of all "yes" and "maybe" answers are required)
Yes Maybe No
(1) Earth. WiI1 the proposal result in:
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(a) Unstable 'earth conditions.or in changes
in geologic substructures? X
4.
(b) Disrupti-ons, displacements, compaction or
overcoveriny of the soil? X
i
(c) Change in topography or ground surface
relief features?
(d) The destruction, covering or modification
of any unique geologic or physical features?
(e) Any increase in wind or water erosion of
soils, either on or off the site?
X
X
X