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7909 BROADWAY 2018-01-02 MF Import
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7909 BROADWAY 2018-01-02 MF Import
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Last modified
12/21/2021 2:44:57 PM
Creation date
1/24/2017 10:25:04 AM
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Address Document
Street Name
BROADWAY
Street Number
7909
Imported From Microfiche
Yes
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(e) Storm water dra.,iage? <br />(f) Solid waste /Iand disposal? <br />Explanation: <br />(17) <br />Human Health. Will the proposal <br />result in the creation of any <br />health hazard or potential health <br />hazard (excluding mental health)? <br />_ <br />Explanation: <br />(18) <br />Aesthetics. Will the pronosal re- <br />sult in the obstruction of any <br />scenic vista or view open to the <br />public, or will the proposal re- <br />sult in the creation of an aesthe- <br />tically offensive site open to <br />X <br />public view? <br />— <br />Explanation: <br />(19) <br />Recreation. Will the.proposal re - <br />impact upon the quality <br />or quantity of existing recrea- <br />tional opportunities? <br />_ — <br />Explanation: <br />(20) <br />Archeological/}iistorical. Will the <br />pipposal result in an alteration of <br />a significant archeological or his- <br />torical site, structure, object or <br />building? <br />— <br />Explanation: <br />III. SIGNATURE <br />I, the undersigned, state that to the 'best of my knowledge <br />the above information is true and complete. It is understood that <br />the lead agency may withdraw any declaration of non-signficance <br />that it might issue in reliance upon this checklist should there <br />be any misrepresentation of lack of full disck r� o my <br />SU✓i,✓G For �N044— --+ Proponent: s <br />[moo✓EY, �/czNiTc-c7 <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: �(op v r✓ Gic� v N Tc 35Z el-rez <br />The above described projo.ct is a major action wit 5072 . <br />(significant, insignificant) impact and (will., will not) require an <br />Environmental Impact Statement. <br />Responsible Official <br />
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