Laserfiche WebLink
' ; , .. <br />Ycn i(nybc Nn <br />(19I Racreation. N111 the proposal result in an impact upon tl�e qunlity X <br />or qunntlty oE exteting recreational opportuni[iesT _ _ _ <br />E::planation: � <br />(2C) Archeol�gical/Ilietorlcal. Will the proposal result Sn an alteration <br />of e significan[ archeological or historical site, structure, object <br />or buildingT — — X <br />Explanation <br />III. . SICNATURE <br />I, the undersigned, state that to the beat of my knowledge the aLove information ia <br />tcue and complete. It !s understood that the leqd agency mey vithdraa any declaration of nan- <br />significance thet it might iesue in reliance upon this checklieC ahould there be any misrepresen- <br />tation or lack of ful] disclosure on my part. <br />Yroponene: L�CG�� .�S �E -�✓��[/ <br />IV. DECLARATION OF RESYONSIBLE OFFICIAL: <br />The abwe described project is a major actior. crith (slgniEicant, inaignificant) <br />lmpact and (will, vill ¢o[) require an Environmen[al Impact Statement. <br />R¢sponsible Official <br />. . <br />1 •� � • <br />N <br />