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....._ ..-���----.... . .,, ........ _..,_......__._.._._.. ,,...... —._...._ ---�- �� ---�--_ _... <br /> 08/22/2013 99:39 9�22a8a6i6 oRONO /�./nb)• .��—�M�,�PaGE 0�la3 <br /> �►�- <br /> .� <br /> R�au�R�u sueM�rTaLs: <br /> All of khe i�fcrrrr+atlnr: muet b�submftted In order ter our a lication to be ro�essed: <br /> Not <br /> nclosed A liaAblo <br /> p p Perm1C A I1C�tlQn <br /> p p Plan R�vigw Foa <br />� � Poal Plans <br />; p q $u �nCludes radin lan <br /> i Q C] Hardcaver Caiculativn Warktheeb <br /> ip a �roalan Control F�Ien o�co of MG1ND F��rm�c <br />� p p Se tl�S et�m CartitiCation <br />� p C� We�and Buffet Im rovom�nt Plan <br /> � ❑ Esaraw&E�arow t��ment . <br /> 4 n o otnet <br />. p 1� U�her <br /> p ' ❑ Ott,ar <br /> i p � <br /> I <br />� APPI.ICANT ACKNOWLED�EI�AENT: <br /> I • Agroea�o provfd��n In�orqnnadon raqulrad or roqueatad hy the Plannin�d�6ulldlnp DeWirtm�nta; <br /> • Undc�stends,if appir.able, an a�-bupE•un+ey end a�built hanloaVor r�vA�ealculations, w'r requf�d ta bs auQmtttad aftot'ho <br /> prnjoal la wmplotv(Includlnp�inal grNdln�eAtl 1��dsCoptng)priert�rel�ndinp the escroar: <br /> • Ca�ti�ioa that tlt�iMom�ation eupplleQ le truo antl oareef�x eo tho b�st Ct hi�/h►er knowlodSs• The aRD�SC���roeeQn�tea 4t10t they <br /> ene solely �eeponsible for eubmitting �aompleto e�pplic�ntlen being ewar�lhet upon fpllur0 to do ao, thv of��F h�s no a�torn�ti�Q <br />� but to raJeet It�mtp!t b eomplete; <br /> • Sort�e er ell of the lntcrmsNon thnt yau 8ro esked to provlClo on thlA sp�icatlon ie deeait�ed by 8tmte Isw ao dthql'p��ete ar <br /> confldtntlel. P�ivahe data I�hiArri►atlon which generefty cannot bw glvon to Ma pubtic but can ba�Iv�n to tMe�subjcol ottho dat+. <br /> Co�dentiel date fs Informatbn which Qeneraly r,�nnot be plva�to 4kher the public cK�10 eubJeat of i�do�. Our purposs arrod <br /> intarxl�d u#0 df qti�Inlonnallon E�te ennueny upd�i�our r'eoorda snd recorda af other povorrtMental apenda�requirod qy isw. <br /> If you rafuw to supply the infarmati�n,tha p4rm(t moy nAt be iasued <br /> li <br /> I �� <br /> AAPli�anYs Sipirature: p�°� <br />'' ���-ti�:�'����.�� 8-�4-2Q13 <br /> Doco: <br /> � Owne�s Siqnatur� <br />., <br /> I; <br /> I <br /> i <br /> i <br /> PeaJ�ot LAet R►DdeMd� D3�4/i�3 p�y4 of Yt <br />