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Signature - Short EAF (Part 1)

Applicant/Sponsor Signature

I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name: ______________________________________
Date: ___________________________
Signature: __________________________________________________

When you (the applicant) have completed filling out Part 1, sign and date the form in the box at the end of Part 1.

This form becomes part of the application for approval of your project, and is subject to public review.

The lead agency will then take over filling out Part 2 and Part 3 of the SEAF.

Continue to Part 2 - Impact Assessment - of the Short EAF (SEAF)


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