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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 1 of 2) <br /> NAME: 5- <br /> ADDRESS: '/ C�,—6/ Y3 Li�+ Dr-i J <br /> PHONE NO.: <br /> APPLICANT/ <br /> DOCKET NO.: � `ja er�r�G.. I`Iys� SMA .21- Oboorlg <br /> A. Is your interest in this matter clearly distinguishable from that of the general public? <br /> Yes X No <br /> If th ans er is "yes", pleas explain: <br /> Jr� Ai�f`It rlt U 5'i-1i f J' d 4d MA-1 Zy <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 <br /> If the answer is "yes", please explain: <br /> Appendix A <br /> E r <br />