| Project Sponsor Information |
| Project Sponsor (Organization) |
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| Requestor First and Last Name |
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| Requestor Email |
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| Requestor Phone Number |
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| Project Sponsor Type |
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| Mailing Address |
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| City |
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| State |
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| Zip Code |
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| Project Plan Information |
| Project Name/Number |
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Project Description (2000 Characters Max) |
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County If more than one select the one that contains majority of the project. |
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Navajo Nation Agency If more than one select the one that contains majority of the project. |
Navajo Agency KMZ Reference File |
| Linear Project Distance (total) |
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| Non Linear Project Area (total) |
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| KMZ File (5 mb max) |
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| PDF Map File (20 mb max) |
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