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Are Forest Service roads/easements involved with accessing your development? Yes No (Circle) <br />If yes, explain: <br />10. What County maintained road(s) will the development be accessing from? Reecer Creek Road. <br />H. . Application is hereby made for permit(s) to authorize the activities described herein. I certify that I <br />am familiar with the information contained in this application, and that to the best of my <br />knowledge and belief such information is true, complete, and accurate. I further certify that I <br />possess the authority to undertake the proposed activities. I hereby grant to the agencies to which this <br />application is made, the right to enter the above-described location to inspect the proposed and or <br />completed work. <br />12. Are there any other -pending applications associated with the property associated with this application? <br />Yes to <br />Signature of Authorized Agent: Date: <br />X' 6-- <br />Signature of Land Owner of Record <br />(Required for application submittal): Date: <br />X S- 25 -off <br />G DRIVFJCDS FORMS/PLANMNCyDEvaOpMFNr ACI7VTFIFS AppLICATION/LONG PLAT APP UPDATEDUIrAM <br />11 of 3 7 <br />