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�� <br /> 1 <br /> � ' , ENVIRONHf•.tJ7'Ai. CIII?C1:1.IST � �{ � � �S' � ��� �� InI <br /> • ($25.00 Fce Acquited) uU � J <br /> . JAN 1 b 1379 <br /> TntroducCinn: The Sta[e Envizonmental Poltcy Act oE 1971, Chapter 43.2iC`,TRL�.'��e,�'s�i��t�r�i� <br /> •[�[e •nd loul governmental agenciea to considcr environmental valuce boch RWnRiAdL��fn <br /> actione and rhrn llcensing private proposaln. The Act also reGuires [hat an EIS be prepared <br /> for all ma.�or actions eignificantly affecting che quality of the environmenC. The purpose , <br /> ot th!• checkliet i• to help th! agenciee involved determine vhether or not a propoeal le such <br /> � ma�oe aetlon. <br /> Tlease nnsvez the follouin� questione as eomple[ely as you ran vith the infozmation presently <br /> ivailab7.e to you. Ifiere e.:)lana[Sons of your ansvers are required, or vhe-e you believe an <br /> ±zplanatlon vw ld be helpful to government decision makers, inciudc your explanation in the <br /> tp�e! provided, or use additional pages if necessary. You should include teferences [o any ,� <br /> repart� or studies of which you are aaare and vhich are televant to the ansvera you ptavide. <br /> ;omplete ansvera to these ques[ions now Will help all agencies involved vlth your proposal ' <br /> :o undertake the requlred environmental reviev vi[hou[ unnecessary delay. <br /> I'he foiloving questions apply to your total proponal, not.�uat to the lieenee for v41eh you � <br /> ire eurrently applying oz the proposal for vhich approval is sought. Your answera should <br /> include tha implctn which vi7.1 be caused by your ptoposal rr;ien St le coa�pleted, even though <br /> :ampletion may no[ occur until sometime in the future. TMs vill allow all of the agencies ^.��;� <br /> r61ch vill be rr��olved to conplete their envi=on�enial revleW nw, vithout duplicating <br /> �aper vor� in the future. ' • <br /> 70'fE: This !� a etandard form.being uaed by all atate and local agencies in the State of , <br /> lashington for various types of proposals. Many of the questions nay no� apply to your proposal. <br /> Cf • queition doea not apply, �uet ansver it "no" and continue on [o the next question. <br /> :tNIROhTffN'fAL CiiECKLISi FORH • <br /> L. SACKGROUND , <br /> 1. 'Nane of Proponent 1 E RRYS ���a PI US ' <br /> 2. Address and Yhone N�ber aF Proponent e��,�l d 4o A A L�i f V EVERET� �n�a. <br /> ZS2 - I17L • I <br /> 7. Da[e Checklist Submitted J A N I'� /�71' ' <br /> 4. Ageney Requiring Checkli�t (' ITY nF EVL- 2 = TT : <br /> S. Nama of Proposal, if �ppllcabl.e: IJ E W R u i c n iN G : � <br /> 6. 1(ature and Brief De�cription of the Ftoposal (including Dut riot limited to its size, <br /> `eneral design elementa, and other factors that vill give an accura[e understanding <br /> ot it� scope �nd na[ure) : C_Z'-o" x /zo'- o " RETAIL SToRE '� <br /> To i?FP� ACE tXisrir� r *r �:+�>�:�=s ; <br /> . . � <br /> 7. Location of Proposal (deecribe [he physicel setting of the propo,al, a� ye�l ns the � <br /> extent of the land aree affec[ed by any environmental ieqracts, including any other , <br /> Snfo:mation needed to givc: an accurate understandLng of tAe environmental aetting of „ <br /> th� proposal) :�r�Ck?E � ON NORTH ERST !'Du'VEl% 7F �/Sr si. +'� ' -„ <br /> RRoRn�lAY i4( 7kF CiTY OI" EVE�t'�� �niiTN PFlVEA PARkiN p 1 ' <br /> 4� C ATCH AR5iN5 � 1 <br /> / <br /> E, Estlmated D�te for Comple[ion oE the Froposed Actton: M A Y l� /� �9 <br /> 1 <br /> � <br />