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APPLICATION FOR ENVIRONMENTAL ASSESSMENT 63 <br />Project Name ra <br />Applicant C0` <br />r)~ ~ cla~ ~ ~ ~ op~ <br />Address __- 222 CLo~s~i~' C-0v~"~ ~ P-o 30~, 2'311+$ <br />L~~ Ik-~ It +J c, Z't 51 ~4 <br />Phone <br />4o1-8~S <br />Owner O ~~ N~~ Co w~-~_Sc.~o~~"~ <br />Address <br />Phone <br />Location of Property N °'r'b'~ ~~~~ '~~ wit ~~ ~ou-r.~ <br />5R II~f4~ <br />__.. .off ~oa'E`h p~ .~--as/~-4o <br />Acreage ~`~ ~ ,Township <br />Tax Map Reference ~'~'~ ~~S 3T5~-',.' PzN(s) ~~`~~' • ~'~' ~" z' <br />Eli ~ Land Use Plan Category ~C.~(~°c~5 ' M~`~"~~" <br />Zoning District _ <br />FOR DEPARTMENT USE ONLY <br />Date received Reviewed by_ <br />Date accepted/rejected <br />Summary Comments: <br />