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ENVIRONMENTAL CHECKLI � � Gr' C� 0 V� � D <br /> � �� �� � <br /> ��� � 989 <br /> OF EVERETT <br /> PurposeorCheckl;sr: nning Dept <br /> The State Eavironmental Policy Act (SEPA), chapter 43.21C RCW, requira all governmenul agencia to conaider <br /> the enviranmental imptcu o( a propoul before making deciaions. An enviranmental impact sutement (EIS) mwt be <br /> prep�rcd for all proposals with probable aignificant advene impaon on the quality of the anvironmeaG The purpae of <br /> thi� lecklist is to provide information to help you and the agency identify impacu from your propo�al (and to redux <br /> or �void impacu from the propoul, iF ic ean be dane) and to help the agency decide wheiher an EIS ii requircd. <br /> /nstructionr ior Applipnts; <br /> Thii environmenul checkliat asks you to dacribe wme basic informetion about yaur propoaal. Gavernmenul a`en- <br /> cia use this eheskiist to determine whether the environmemal impacu af your propael are sisnificant, requirins <br /> prcpantion of an EIS. An�wer the quatione briefty, with the moat preciae in(ormation known, or give the bni de• <br /> scription you can. <br /> You must answ�r each quation accurately and carefully, to the best of your knowledge. In moat caw, you �hould <br /> be �ble to answer the quations from your own oburvations or project plam without the need to hire experts. If yuu <br /> really do not know the answer, or if a quation doa not apply to vour proposal, write 'do not know' or "don not �p� <br /> ply'. Complete answen co �he quations now may avoid unneceuary delaya later. <br /> Some quations a�k �bom govemmenul regulations, such as zoning, shoroline, and landmark daisnatioru. Aniwer <br /> thae quntions if you an. If you h�ve problem�, ihe 6overnmenul �sencia can uiist you. <br /> The checklist qua�ions apply to all ptrts of your propoaal, even iF you plan to do them over a period of time�or on <br /> differcnt p�rau of I�nd. Atuch �ny additional information �hat wili help dacribe your propaal or iu environmenul <br /> effxu. 'fhe ��ancy to which you tubmit thii chacklkt mty a:k you co aaplain your zruwert or provide addidaul in- <br /> foniution rcuonably rolaud to determinin� if there m�y be�i{nifiant advane imp�ct. <br /> Urt of checklirt for nonproject propawli: <br /> Compleu thb checkl�t for nonproject propatb, even thou�h quatiom m�y be amwered 'doa not �pply.• IN �o- <br /> DITION. COttIPICtC tAC SU�►LLMlNtAL SH![T FOR NON►ROIHCT ACT70N3 (�rt D). <br /> For nonprojat tctiont, the refercnca in the checkli�t to the word� •project,' 'applipnt.' and 'propeny or �ita' <br /> shauld be rad u 'propottl,' •propaer,' and 'affected `eo�nphic ara,' rapectively. <br /> A. �ACKCROUND <br /> I. N�me of propo�ed project, if applicable: <br /> 4;. <br /> GtOM.R 41.E rl AAs,R'�'M�N'T!�Ir <br /> 2. Name of opplic�nt: K&.hIMl.'�}� {�. W�IIObON � dIM LOD�NIR( —_..---. <br /> 3. Addras and phone number of applicant and conuct penon: • <br /> 401 �i►�cic A.�ce �ui'fe 3�7 ------ --- -- _--- --- <br /> KIRK�I�NO� WA 98033 8z2-2ZZ8 •R �t�-ai�b �--- <br /> 4. Date chaklitt prcpared: 7�Q4 •$9 <br /> S. A{ency rcquatin� chxkliat: �/�pJ N �NCs( Q��►RTlrlt►�'r ---- <br /> 6. Propo�ed timin� or uhedule (including pha�ins, if applicable): <br /> �IJ[i tJs T I� 118°I <br /> 7. Do you have any plam for futurc additione, expansion, or further activity related to or connected w:th this propoaall <br /> If ya,expl�in. <br /> .N O <br /> �. � <br />