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(explanations of all �'YES!t and !'MAYBE" answers $re required att attached sheet(s�; _1.
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, }i gARTEt. Will the irbpasal restAtli,n s grii£icant: I
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a, Unstable earth ,gond tiona�,or changes ir►,geologic suhstructiires?
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c.., Change 'in topography or ground surface relief features?
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�._ O. Increase in wind or' "pater” erosion" of sons either an or off' site?
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f. Changes, in depositibn'or ezosion of beach sands;, or changes in si.11 itetion;.
feposst ori or erosi0 which` may rid ify the jr~harinel of'!a river or' stream l '
or the• bed a£ `the ocean ar any bay, inlet ar. laket
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2 e AIR.. Wil the prapasal. resiht 'in ttUtislt%htial: i1
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3r ,WATER: Will the piopo"sal result iln stibstantial'
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a 4\' ci ,typed for offsite surface drainage" improvesient's, inclttdingl yegatat#on "
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h Change in the +ltrantity or q Ali y of gi attitt Waters t - fth. `r thiewj i
direct additions nor !ithdraWalsg oil through interception of an aquifer i '� -I
by cuts'or. excavations
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3 y' 'kacposure of pedpie or property to t ltazazd11:1s such aslndding41 ?
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