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✓ ♦ Air Pollution (Health Department) <br />✓ ♦ Historical Society <br />✓ ♦ Water Quality (Health Department) <br />✓ Water Resources <br />BLM (If Applicable) EPS Circle One: Y ❑N <br />Forest Service (If Applicable) EPS Circle One: Y [N <br />♦ - Receive one paper copy of Application form, Legal Description and Location Map <br />.J - Receive CD of entire application <br />