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<br />PART II
<br />PROJECT APPROVAL INFORMATION
<br />
<br />0- NO. .""'0 '..
<br />
<br />!!.!!!!..1
<br />0-. ,10,. a.,..'anc. '8Clu..t ,.qu¡,. Siotc. local,
<br />r.g._I, or o",.r priorIty ral"'g?
<br />- y.. .-LNo
<br />
<br />Name 01 Govern.", Body
<br />Proority Ra';nll
<br />
<br />It.... 1.
<br />
<br />Doe. ,h., OU"'Oftc. reque" requIte SIal., or local
<br />04v.....)', ed",aloona! or health d._"ce.?
<br />
<br />----- Ve.. -~ No
<br />
<br />No.... 01 AV-"cy or
<br />Boa,d
<br />
<br />IAlloch Oocu......,a,.on)
<br />
<br />(Allach (ommenh)
<br />
<br />-----. --
<br />
<br />~
<br />0.... ,h,. a..,,'anC8 request re<¡Offe cleo..n9hau,e
<br />.e".ew on oc(ordonee woth OMS ("eulor "'.9~j?
<br />
<br />-L V..
<br />
<br />h.... 4.
<br />D;;;fh" oulSlonee reque,' requite SIa'., l<Kol,
<br />revoonol Of olke. plonn"'9 appla"af?
<br />- Vel--X-No
<br />
<br />No
<br />
<br />No.... of Approving A9.ncy
<br />Dale
<br />
<br />It.... 5.
<br />
<br />1.110. propoud P<Olecl cove,.d by on opp'o""d COtnpre-
<br />h.n.,v" plan?
<br />
<br />X
<br />_Yes_No
<br />
<br />(h.eI. Ofte' Slota
<br />Local
<br />Rev,ona!
<br />LoeOllOft of Plan
<br />
<br />r
<br />r' I
<br />rl
<br />
<br />"e", 6.
<br />
<br />¡¡¡¡-¡¡;. OUlllonee reque,'.d ,er"e a F edero!
<br />",.'ollat'on? - Ve, ---X-No
<br />
<br />No- of Fed.rol In.tollohon
<br />F.d.,ol Po MI!otion benef,'in. Ir..... Pro,ecI
<br />
<br />It- 7.
<br />
<br />W,II ,he ou..lonee reque.led be on Fed"ro! lond or
<br />,n.'ollal.",,?
<br />
<br />--- Y.s..-.X... No
<br />
<br />No"'e 01 Federal In'follollon
<br />Locoloon 01 Federal Land
<br />Pare en' 01 P'Of"cl
<br />
<br />~
<br />W,ll ,he aUlslanee reque"ed hoye on ""POC' or eflec'
<br />on ,he enYHOn",en"
<br />
<br />_Ve,.-1LNo
<br />
<br />See In,'rue,.on, fa, add,ltonal ,nfo.mat,on 10 b.
<br />poy,d.d.
<br />
<br />It.m 9.
<br />Will ,h. aul"_e" r.-qu....d ca........ d,aploe""...1
<br />of ind,v,duah, la...¡I,.., bu..n...." or fa,....,
<br />
<br />_y..--1LNo
<br />
<br />Numb., at-
<br />""',v,o-"
<br />Fa""I..,
<br />
<br />Bu,;n..,..
<br />Fa"",
<br />
<br />'I.... 10.
<br />
<br />ta ",-r. o",.r relo'ed ou"'o,,c. Oft ..." pt°l.cl pt.vi....,
<br />pend...g, or o,,'icipot.d'
<br />- V..-1lHo
<br />
<br />s.. ",.t,ucl.o... for odd."onol ¡"for_',on '0 be
<br />provid.d.
<br />
<br />I..... 11.
<br />.. ttMt proj.Ct '" . d".,..,ed flOOd he..,d ....,
<br />
<br />_y..-1lNO
<br />
<br />So. inatruct,- for .tUltional ¡"lorrnotlOft to
<br />be pr 00t tdod .
<br />
<br />CJlJ-4
<br />
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