US Customs and Border Protection Ajo Housing Development ... - GSA
US Customs and Border Protection Ajo Housing Development ... - GSA
US Customs and Border Protection Ajo Housing Development ... - GSA
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Arizona's On-line Environmental Review Tool<br />
Search ID: m~ 20100430012069<br />
I00430012069<br />
Project<br />
Proj(.-ct Name: <strong>Border</strong> Patrol<br />
Parrol housing project<br />
Date: 4/30/20109:04:55 AM<br />
Print this Environmental<br />
Envirollmellial Review Receipt using your Internet<br />
Inlerne1 browser's<br />
print function <strong>and</strong> keep it<br />
il for<br />
tor your records.<br />
records_ Signature of<br />
ot this receipt<br />
indicates the signer has read <strong>and</strong> underst<strong>and</strong>s the information<br />
informalion<br />
provided.<br />
provided_<br />
Signature:<br />
SigTlalure: --<br />
- . __<br />
Person Conducting Search (if not<br />
nor applicant)<br />
Agencylorganization:<br />
Agency/organization:<br />
_<br />
Date:<br />
--------<br />
------- _<br />
Contact Name:<br />
__ _<br />
Proposed Date of Implementation:<br />
Implementalion: _ Address; Address: ~ _ _<br />
Please provide point of contact conlacl information regarding<br />
r.3garding this<br />
Environmental Review.<br />
City, State,<br />
Stale, Zip:<br />
_ _<br />
Application<br />
Appllcarion or organiz£Jtion<br />
organization responsible fOf for<br />
project implementation<br />
Phone:<br />
_ _<br />
Agency/organization:<br />
_ _<br />
E-mail:<br />
_ _<br />
Contact Name:<br />
_<br />
Address:<br />
__ _<br />
City, Slate. State,<br />
Zip:<br />
__<br />
Phone:<br />
_ _<br />
E-mail:<br />
_<br />
Page 7 of 7<br />
APPLICATION INITIALS:<br />
_