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8. Are Forest Service roadsleasements involved with accessing your development? Yes No (Circle) <br />If yes, explain: NO <br />What County maintained road(s) will the development be accessing from? GAME FARM ROAD <br />10. Application is hereby made for permit(s) to authorize the activities described herein. I certify that I am familiar with <br />the infonnation contained in this application, and that to the best of my knowledge and belief such information is <br />true, complete, and accurate, I further certify that I possess the authority to undertake the proposed activities. I <br />hereby grant to the agencies to which this application is made, the right to enter the above-described location to <br />inspect the proposed and or completed work. <br />.411 correspondence and notices will be mailed to the Land Owner of Record and copies .vent to the authorized agent. <br />Signature of Authorized Agent: Date: <br />(REQUIRED if indicated on application) <br />X <br />Signature of band Owner of Record <br />(Required for application submittal): Date: <br />x �w�Nr '-/ /E%' -4 <br />G DR[VE/CDS FORMSIPLANNINGILAND USE APPSILONG PLAT APP UPDATED: 1/1,'08 <br />3OF3 <br />0 <br />