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, . .. ' � Ycs Ma Uc No <br /> . ; <br /> (19) Recrcation. Will tl�c proposal result in an impact upon the quality <br /> ' or quaneity of existing recrea[ional oppoctunities? X — i <br /> Explanation: Annexation will facilitate development of recrFarional ' i <br /> i <br /> areas. � <br /> (20) Archeolov,ical/Historical. 41i11 the pr�posal result in an alteration <br /> of a �sip,ni[icant arci�eological or his[orical siie, structure,�object — � <br /> or buildin�? <br /> Explanation: <br /> ' <br /> IIi, SIGrATURE <br /> I, the undersigned, state that to the best of� my knowledge the above inforr.:ation is <br /> iYue and co;��lete. It is understood that the lead agency may withdr2ia any declaration of non- <br /> significance �that it �ifiht issue in reliance upon this checklis[ should there be any misrenresr.�- <br /> tat�on or lack of full disclosure on my part. . . <br /> Proponent: _ — <br /> Iy, DECLARAT.I0.1 OF RESP0ISIBLE OFFICIAL: <br /> The above described project is a major action with (significant, insi.gni_fi.c����) <br /> impact and (�aill, �aill not) require an Environmental Impact Statement. <br /> ReSponsible Official <br /> i <br /> { <br /> _ • . i <br /> . . • i <br /> i <br /> 4 <br /> t <br /> ii <br /> M1 <br /> � <br /> 1 <br /> • . . { <br />