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<br />PART II <br />PROJECT APPROVAllNFORIIA TION <br /> <br />0... "O.'~IIIIO I" <br /> <br />It_I. <br />o;;;thi' ouis.ance ,equ..' '....if. S..,., l.col. <br />NtieMl, ., olh., pt'lority' '.ti..,? <br /> <br />_V.,_N. <br /> <br />No.. .1 Goy.mln, Body <br />Priority Rolin, <br /> <br />I.... ,. <br />0... ,his aui.....e. reque.t ,equi,. $..,., or local <br />"",ilOf)'. .duCOI1OMI .r ha.lth cloetOftu,? <br /> <br />_V.,_Ho <br /> <br />N.IM of A..",y .. <br />800,4 <br /> <br />fAUoeh Oocu_"lation) <br /> <br />(Attach (ollll",_h) <br /> <br />II.... 3. <br />0...11,,11 .,.illanu ,oque,1 ,.quj.. cl.-orin,hou.. <br />'....1.. In occOIdonU Wl,h OMB Cuculol ,A.9S? <br /> <br />_v.. ..,. <br /> <br />It.. ... <br />D;;;thil auistanco .oquo.' ,equiro Slot.. local, <br />,.,iaMI .r 011".. ploAnin, opp,ovol? <br />_V.,_No <br /> <br />N..... of Approvi". A,ene)' <br />Dolo <br /> <br />It.... 5. <br />It ,h. ,.opond ';'010" c.......4 by On o..r.".d (_pt.. <br />ho,ui.". ,Ion? <br /> <br />_V.,_N. <br /> <br />(hocl.. on.: Stat. <br />local <br />R-vionol <br />location .f Plan <br /> <br />r' <br />., <br />r.1 <br />rl <br /> <br />"0.6. <br />i'iii"'ih. ...i.tance r.qu....ct ........ 0 F.d.,ol <br />Instoll.'ion? _ V.. _No <br /> <br />HOlM .f F.cI.ralln"ollolion <br />F.d.,ol Populo,ion tMn.lj,jnO ,,_ P'OI.c;I <br /> <br />11..1. <br />Will th. n,i,tonu r.q....,..d b. on F.ct.,.llond 0' <br />in,IaIl.'lClIn? <br /> <br />_V.,_Ho <br /> <br />HOMe of F.d.rallnt'allalion <br />Location a' Fed.,ol land <br />P.rc;QfIt 01 P,oi.e' <br /> <br />II.. e. <br />iiij"";'h. oui,lonc;. reqIMI,.d ..v. on illlpoc;l ... .ff.c;t <br />H I.... _"viro_.nt? <br /> <br />_V.,_Ho <br /> <br />s.. in,tr...ctions for oddilional inlo""OWion to b. <br />provid.d. <br /> <br />11_9. <br />Will ,he. ouiltOllu req".atred c;O",I. the "iaploc;MI"" <br />.1 incli.,.id...oh. lo.iliu. bv,jn"..." 0' 'O,.I? <br /> <br />_Vel_Ho <br /> <br />H....b., 01: <br />Ifldi.,.iduol, <br />FaMilies <br />Bu,in.".. <br />Forllll <br /> <br />l!!e...!.Q, <br />I. ther. .ther ,.1..... .ui"enu Oft Ihi, "ojec;t ".wio".. <br />..-n4int, Of .nticipat.d? <br /> <br />_V.,_No <br /> <br />5.. iftltrucli....1 '01 ocUi'ionol inlOfWlOtion '0 "'- <br />provid.d. <br /> <br />~ <br />II tM "'OJ-CI In. ....,gnat" 11004 haurd ....1 <br /> <br />_'.._No <br /> <br />Se. Inat"lCll~ lor ~ltlo....1 InlorfNIllon-lo <br />be ...owW-.d. <br /> <br />CJD-4 <br /> <br />Next page number is CJD-6 <br />