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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 1 of 2) <br /> NAME: l.�a 11 P h t t <br /> ADDRESS: 9 A - — i e- f S <br /> PHONE NO.: ; r'i g <br /> APPLICANT/ <br /> DOCKET NO.: <br /> A. Is your interest in this matter clearly distinguishable from that of the general public? <br /> Yes _ No <br /> If the answer is "yes", please explain: _ <br /> nd 2� ,5 tia k res <br /> er <br /> eloo,5 Q r Q6,SC <br /> bt—h Y' f2Ni PPd 1' 44t <br /> "no",If the answer is please explain how the proposed action will nevertheless cause you <br /> actual or threatened injury: <br /> B. Are you a governinent agency whose jurisdiction includes the land involved in the <br /> subject request? <br /> Yes No <br /> If the answer is "yes", please explain the nature of the agency's jurisdiction: . <br /> C. Do you lawfully reside on or have some property interest in tue land involved in the <br /> subject request? <br /> Yes No <br /> If the answer is "yes", please explain: <br /> Appendix A <br />