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112 Derma!! 4ocl; :a ::t^ 1 _r t':,1 <br />19. The lands n¢rein ¢ np[ aFfec; any of <br />chc Iands describes in Section 115(S)(f) AfflYmed <br />of ih¢ Xinnd Land llocl amacion .:ct. <br />rd PS 6 sCH IB ITS <br />tlith each of the five ("-) LApi es df tno aepticaticn fo r-l, the aDDlicant must submit <br />a cer ras pondinq sot of th¢ m7a an0 aahi Si LS outlined in RUL: 2, of 'oilows: <br />t. EXM IBiT A - Laeal dss cription <br />2. EXHIBIT B - Inoax a¢ <br />). EXHIBIT C - prn-a:ninq a wining plan mp(s) of affactcd lands <br />L. EXM 1917 D - Mi r.i nq plan <br />5. EXHIBIT f - Rociaoti en plan <br />6. EXMI B,IT f - R¢clo0tion plan Ilmp <br />7. EXHIBIT G - tlatar inforancion <br />B. EXM IBIT H - tlildlifa Informd[ion <br />y. EXM IBIT 1 - Soils iefo rslotien <br />10. fXH181T J - Voq¢taci an info ramti en <br />11. EXM 1917 x - Climte <br />12. EXHIBIT L - R¢clnsion Costs <br />pB: Cancprninq tea naxc ch rnn EXHI SITS M, N, 0: Dlease ro La that tho <br />Julr 19J8 ¢di;ion of the 4ulas and Raqula:ions pni cs th¢se EXM191TS. <br />_ This was not a daiecian ~y tea !11nod Land aecl amecion Board; the <br />_ data raeui rod frs. ;~ese EXHIBITS was eo roly ;ran sferred to a yew <br />_ sac:ien in tho Raoulotions {RU L'c 9. D• bb)• SuLS aG Uen; issues of [ye <br />_ 0.¢sulationf .ill ra}ISC: SnC omits ipn Of ~reDar Cross-ref ¢renc+~y in <br />cn is r¢qa rd. Dlaase include, in your Ce rmit aDOlicaci on, EXM IBITS <br />h, N, 0, as rnpuirnd by RULE °.1 (1), (2) and (3)• <br />I±. EXM iB IT n - Local govo rnmx-c eooroval ) S¢e RULE ?.1(li <br />16. EXHIBIT M -Omer pa resits ar lic¢nses ) See RULE °.I (2) <br />15. EXHIBIT O - Sou rcp of I¢gal ri qhL Lo ¢n i¢r ) Sae RULE ?.1 (~) <br />16. EXHIBIT P - Owners of surd of turfac¢ and surfurface righ n . <br />p~ICE D40CE:URES <br />After thn aoalica[ien is ex+s;dered "`ilcd" (Duriuant to RULE I.I (10) with tho <br />Hined Land Racl amation Division, notice Drocad urea eutlinod in RULE 2.2 :.ust Do <br />folla.ed. (f Cana[ for such notice] will Da inc!u¢nd in the totter yeu receiv¢ from <br />tho MLA Scat` inferaieq you of c~a eomoleten¢sa ("filing") of your aootication. <br />AODIT IONAL IpfORJ1AT10N <br />This sD ace can be re,`eranc¢d for furthor info r_lacion of any of Lna ice-n :n chis form. <br /> <br /> <br />Q <br /> <br /> <br />a <br />a <br /> <br /> <br /> <br /> <br /> <br />To t.`.¢ bast of wry hn¢.ledga, all thalintoration, resented in this application is <br />:run and correct. ~~~-~ ( 1 '~ n <br />. _ <br />TITLE /! .' r~...< s~J~,r-I- <br />T <br />(Signature by i~divi dual laaolly aut~orited to bind <br />one opx racor to to is aoolication.) <br /> <br /> <br /> <br />