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F. DETAILS Fees

Calculate the area affected, use diagram below as a guide to zones.
Enter area affected in appropriate space in diagram.

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Does this proposal require:
fill area “fan m = volume Lequu, me?
dredging area _ m2 vot urtie’ m?

rip-rap area ate m2 = volume guy m3
pites

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*Wi11 the project: involve construction of new structures or expansion/
| ‘“fmprovement of existing facilities? Yes = Nos.
if yes, explain ne me wn we an wee em
{involve demolition or removal and di sposal “oF
existing structures? Yes No d¢
If yes, explain

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require munietpal ‘servicing? Yes ___— ‘No

If yes, explain nn ee ee me
involve dyke construction or affect-existing dykes?
Yes» No IF yes, explain Gayteeset eth. a.

involve diversion, “impoundment or consumption of

water? Yes No o« If yes, explain

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generate wastes requiring disposal? Describe type
and quantity: Yes Noy If yes, explain

Gnvolve use, production on or ‘hand! tng Of hazardous “
materials or pesticides? Yes No x If yes,

explain me ere we een ce ne ee ee

involve tts a of land in the Agric tural Land. Reserve?
Yes Wo d& Saifeate muabictpat ov reglonal district

zoning — nt net woe ‘aoe ert

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* Note: Completion of any of the following items may indicate a requirement
far separate applications.

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