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<br />PART II <br /> <br />INSTRUCTIONS <br /> <br />h. <br />Provo. <br />space Po <br />tion~: <br /> <br />-9 <br />~ <br />~ <br />~ <br />-9 <br /> <br />',We art explanation unless the <br />'formation at a later date. <br />., "Yes" an'SWen in the <br />"~ following i"strue:. <br /> <br />)- <br />0 <br /> <br />Item 1 - Prov... <br />ing the prIori IV S'r <br />thi\ project. <br /> <br />h.,. 2 - Provide the nan. <br />ISSUed Th.. clearë:nce and anaL. <br />or 3Øproval. <br /> <br />Item 3 - Attach the clearinghouse c.. <br />catIon '" accordance WIt'" the instructl... <br />fic" of Man¡;gement and Budget CIrcular I\, <br />ments w~rf' submItted previously with a prea.. <br />no submit them again but any additional can. <br />eel led from Ihe cleannghouse should be submitt.. <br />thi. application <br /> <br />'dy estlblir;h. <br />""9ned to <br /> <br />~ <br />V <br />.() <br />.() <br />( <br /> <br />"'h <br /> <br />,. <br />0 <br />" <br /> <br />~~ <br />.() ~ <br />'<i -'V <br />-9 )- <br />)- "9 <br />// ( <br /> <br />Item 4 - FurnIsh the name of the approving agency and the <br />ap )roval date <br /> <br />Ite-n 5 - Show whether the apprOVed comprehensive plan <br />is :;tate. local or regional. Or If none of these, explain the <br /> <br />1CQØe of the plan. Give the location where the approved <br />plan is available for examination and state whether this <br />project is in conformllrlce with the plan. <br /> <br />Item 6 - Show the population residing or working on the <br />Federal installation who will benefit from mis project. <br /> <br />Item 7 - Show the percentage of the project work mat will <br />be conducted on federally-owned or leased land. Give the <br />name of the Federal installation and its location. <br /> <br />Item 8 - Describe briefly the possible beneficial and harm. <br />ful impact on the environment of the proposed project. If <br />an adverse environmental impact is anticipated. explain <br />what action will be taken to minimize the impact. Federal <br />agencies will provide separate instructions if additIonal data <br />is needed. <br /> <br />'" 9 - St.ate the number of individuals, families, busi. <br />or farms this project will displace, Federal agencies <br />'ide separate instructions it additlol\al data is <br /> <br />/ <br />1t <br />~ <br />)- <br />~ <br />V <br />C' <br /> <br />the Fedefal Domestic Assistance Catalog <br />.. n.-ne, the type of assistance, the sta. <br />. each project where there is related <br />'oated assistance. Use additional <br /> <br />>- <br />/ <br />0 <br />1- <br />~ <br /> <br />CJD-5 <br />