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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 1 of 2) <br /> NAME: <br /> ADDRESS: Rd <br /> ux-.-1d•� , N-:r-- '2 V715b <br /> PHONE NO.: 3 o l --N —5na <br /> APPLICANT/ <br /> DOCKET NO.: f-6t LC <br /> t7L - 5 MN - 0.0a3 -oGc03(00 <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 /> kale ke,rurX - A0 i S v�` <br /> AA W-CA-UA 0Xz <br /> -the P rr,;P� dJe.ve 1 s pa-Me-1 n,ur sbe1- i-s -75-0/6Ol I C,z7z2v . <br /> If the answer is "no", please explain how the proposed action will nevertheless cause you <br /> actual or threatened injury: <br /> B. Are you a government 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 the land involved in the <br /> subject request? <br /> Yes No ' f <br /> If the answer i RCVD COH PLANNING DEPT"yes", explain. DEC 14123 pm2:05 <br /> Appendix A <br />