HomeMy WebLinkAboutSEP92-00047 - SEP Application - 5/5/1992 TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
A. BACKGROUND:
1. Name of proposed project, if applicable: Oe--k
2. Name of applicant: Ji VI-1 �C)W S -e—r>^
3. Address & phone number of applicant & contact person:
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4. Date checklist prepared:
5. Agency requesting checklist:
6. Proposed timing or schedule (including phasing, if applicable) :
7. Do you have any plans for future expansion, or further activity
related to or connected with this proposal? If yes, explain.
8. List any environmental information you know about that has been
prepared, or will be prepared, directly related to this
proposal. Aid
9. Do you know whether applications are pending for governmental
approvals of other proposals directly affecting the property
covered by your proposal? If yes, explain.
10. List any government approvals or permits that will be needed
for your proposal, if known.
il. Give a brief, complete description of your proposal, including
the proposed uses and the size of the project and site. There
are several questions later in this checklist that ask you to
describe certain aspects of your proposal. You do not need to
repeat those answers on this page. (Lead agencies may modify
this form to include additional specific information on project
description. )
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