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„,,. <br /> � ' (S� Fee Required; <br /> Introduction: The State Environmental Poli�y Act of 1911 , <br /> Lhapter 43.21C, RC61, requires all state and local govern��ental ' <br /> a9encies to consider environinental values both for their ovm <br /> actions and when 1ic�nsing pritiate praposals. The Act also <br /> requires that an EIS be prepared for all major actions sionifi- <br /> cantly affecting the quality of the environment. The purpose <br /> of this checklist is to help the agencies involved determine <br /> v�hether or not a proposal is such a major action. <br /> Please answer the fallowing questions as completely as you can <br /> With the information presently available to you. Where explanations <br /> of your answers are required, or where you believe an explanation <br /> vrould be helpful to government decision makers, include your <br /> explanation in the space provided, or use additional pages if <br /> • necessary: You should include references to any reports or studies <br /> •.of. which you are aware and which are relevant to the answers you <br /> provide. Complete answers to these questions noY� will help all <br /> agencies involved with your proposal to undertake the required <br /> environmental review without unnec�:essary delay. <br /> The follawing �uestions apply to your total porpnsal , not just to <br /> the license for which you a�e cu�•�ently aoplying or the proposal <br /> for which approval is sought. Your ans�iers should include the <br /> impacts �rhich will be caused by your proposal aihen it is completed, <br /> even though completion may not occur until sometime in the future. <br /> This will allow all of the agencies which will be involed to con- ' <br /> plete thr_i� environmental review now, without duplicating paperwcrk <br /> in the future. • <br /> NJTE: This is a standard form being used by all state and local <br /> agencies in the State of A'ashington for various types of porposals. <br /> Many of the questions may not apply to your proposal . If a question <br /> . does not appTy, just answer it "no” and continue on to the next = <br /> question. � <br /> ENVIRONMENTAL CHECKLIST FORM <br /> I. BACKGROUND , <br /> 1. Name of Proponent: Larry L. Bramhall <br /> 2. Address and Phone Number of Proponent: � <br /> 14822 N.E. 31st Circle, P.r:dmond, Washinaton 98052 <br /> 206 883-1989 <br /> � 3. Date checklist suGmitted._Ap n 1 20, 19 9 <br /> . 4. Agency requiring checklist: City of Everett <br /> 5. Name of proposal , if applicable: <br /> Casino Road apartments (unnamed) <br /> 6. Nature and Brief Desc n ption of the Proposal including but <br /> not limited to its size, general desian elements, and other <br /> factors that will give an accurate understanding of its <br /> scope and natureL: <br /> 40 unit apartment dwellinv Frame constructicn <br /> five structures ' <br /> . . ��a • <br />�' - •�._ . . . . '.. . -- _ - -. ---� � —.__ZT <br />