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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 1 of 2) <br /> NAME: C7O) Lf V LA S Er- <br /> ADDRESS: <br /> KADDRESS: 17 4o gAtiTA �MEz JAY <br /> Sh �AAMChJTDF CA 25 £? l Ia <br /> PHONE NO.: 22 <br /> APPLICANT/ <br /> DOCKET NO.: P1,- S PP 0,07,4 - 000011 <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 /> I AN 7'NE ewMa , OF AN A D,3AGEtJT PROPIP-liZ..T 4 AT <br /> q 4, !d 5.5 Crf&mE� R-b, ACRaSS 11+E s`tL�T r-Rom S11->r. <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 />