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<br />~~~ -- Present land use ~ ~/ ,O ~~ ,F~ (~GZ.~ ~/T
<br />(1. e., agricultural, industrial, etc.) -""`"'-""'--'--" -
<br />-^- _
<br />l5. Proposed future land use ~__-. ~'}(~=,(a__1 (~C %" ,~%~ fl-L
<br />(Cr~al of reclawtar_ion)
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<br />ItiSTRUCTIOP~S: This application font must be sul:mittrd is duplicate nud each form must
<br />i be acco,anaaied by the f.ollrn:irg information and iterzs. The application
<br />I will not he processed until. complete. 5r_e kULE 3 (for Limitgd iacpact)
<br />~ ur kU"i.E 4 (for Special 10-day) for a.dditf.enal guidance.
<br />E~iIIIIT A - I.egzl D~scri.9tion
<br />The legal descxiption must identify the affected land and be caholly adequate for
<br />field location of the property. It can be in the form of metes and bounds survey
<br />or a desr.ription by refcre-.ce t., to•.mship, range, and section to at least the
<br />near^_st quarter quarter sect5.on. Fntere.applicable. the street address or iot
<br />number(s) aay be used.
<br />F.`:`iI13IT B - ?{iniae~Plan
<br />Tf1is Cal ;"_` .~ general disc::.ssion or the -:ethods, egttipnent, ~?~ssea or Stages of
<br />tt:^_ op~r::!'pr, an those port'_cn~ of lanri affected cy each. TYr3 plan shc,uld be
<br />l'.LC^G..j C9 tI:i•`~_Cu :7:r .. :hC II~9 end sh^uld !]}lOC~ F'C!ere C;:traCtioa Vi1 ). 6eg9.a, 'x7:11 Ch
<br />d i_~,-cr.ion 1.t s7i'!1 p1:..:eed
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<br />Tt.is -gyp shat•ld ce cs cpiapre::ens've as poesble in '__--^s of clearly d::f9~ivg
<br />Yh~a p^- c!.t: he:u^..: i;.~s anc iaZ:.cata~ all roads, or :,tcci~~?.lc ~.rcaa to :e u=..r'e in
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