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' _v_�_�, n,yi,�_ r,�, <br /> (]9) Brcrentlnn. lllll thr prnpnsal rrsult !n r�n Impn�•l upnn t.6c q�u�llty <br /> or quan[lty n( txis[!n� rocrcatlonal up��orlunillcx? __ _ .�__. <br /> Cxplannllnn: __ _�-- ---- <br /> (20) ALC}1P.0]Oy1r.n1/Iilstorio�l. Will thc proposal resul[ Sn an nllcr�tion <br /> oI u signiCic:m[ archcolo;;ical. or histo[ical Si[r, cLrucCurc, ohject <br /> or building? — x _ _ <br /> Ex�lanT[ion: -' <br /> III. SIG:IhTURF. <br /> � I, the undcrsirned, s[a[e t'.iat to thr. best oE my l:nowledge the nbovc inforr..�tfon Is <br /> true and co-plete. I[ ie understood [ha[ the lend agency may i�ithdra�.� nny declaratinn o` r.a-.- <br /> siRniflcance thar it riif;fit issue in reliance upon this checkli should there Ue any nisreprc>.r; <br /> tation oz lack of full disclosure on ny par[, <br /> Proponent: _ � <br /> IV. DCCLARATIJt7 (1F RESPDXSi�i.0 OFFIC7A1.: �1 � w � <br /> The above described projcct: is a maJor ac[ion wi[h (sipnificnnc, insignificanc) <br /> impac[ znd (cill, will no[) requim an Environmen�nl Imp;ict Statemen[. <br /> Responstl+lc Uf[ici�1 <br /> � ' . <br /> . <br />