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! <br /> � --� <br /> . 'iNVI1tONM1iL'N1'Al. CIIIiC1CL15'1' �y� (' i;i � �+ �� � � <br /> (�25.00 ]!'cu Itc��uired) � 'i� <br /> Jlt.r �j ��,;� <br /> lnirnduction: The Stntc linvironmenlnl I'olicy Act o[ 1�J71, ��•�.Y, �%r L�'Ll�� <br /> Chiiptcr 93.21C, ItC1V, requires a11 slntc nnd locnl �ovcrnmenlnl r�d������1$ p2p� � <br /> ngenc;es to ronsicicr environmcntal vnlucs both fur lhcir o�vn <br /> aclion� nnd tivhen licensing privatr pro,�osnls. 7'lie Act alco <br /> requires thnl an L•'I:i Uc prepnred for nll mnjor netions si�nificnntly <br /> n[fecting Uic qunlily oC tlic environment. Tlic ptu•pose af tLis <br /> checl�lisl i� lo hclp the uE;encies involved dct�rmine whether or not <br /> a nroposnl is suc}i n major netion. , <br /> Plense nns�vcr the follo���ing qucstim�s as campletcly ns you enn <br /> wilh thc informntion presently nvuilnble to you. i��'herc expinnntions <br /> of your unswcrs arc required, or w;��re you Ucliave nn explauntion <br /> would be helpful to govcrnnmri dr.ei��iom m�iccrs, include your <br /> explannlion in the spnce provided, m' USC 0(IfIl11011:11 pJ(,*CS 1C <br /> necens�iy. You should includc references to nny reporte or e.tudies <br /> oY vrLich you nre aware mid �vhich nre relevnr.t lo tnc nnsti�:crs you <br /> providc. Complete an�rrcrs to thesc questions now t�ill hclp all <br /> agenctes jnvolved with your propo:;ai to undertNce the required <br /> environmeninl review tivithout unnecessary dclny. <br /> apply to your total p:•opuaal, not just to llie � <br /> �°"'"'•'9 Business Inwr�nce e currently npplying or the proposal for <br /> � �_,,,_ Employc� Bene(it: , <br /> Lifolnsuranco t. Your ansi�rers should include the impucts <br /> 1 t Bonding your propo�nl tvl�en it is complete3, eve� <br /> t�.�+w Roal Estate iot occur until somutime in ilie futura Thia <br /> � 1)an B. �€auff& Associates :��cs ti�t�;��, ��,��� t�� i�������a c� ���T,,�,�c� <br /> Realry Inc. ' .ew now, withevt duplic:�ting pnper�vork iii <br /> 2500 1161h Avonue North[ast <br /> Oellavue,Woshinpton�8005 746-0100 <br /> Joseph B.Spencer rd form Ucing used Uy all state nnd )ocnl <br /> a.Vcu�.acn iu u��. ,....�„ ... iVnshington for V�TI011S t`JI1C5 O� PI'CPGGRIS. <br /> A1nny of tlic yuestiuns m;:y net e�pr:y lo your proposnl. If r. yuestion <br /> docs not apply , ju�t r.�isrrer it "no" nnd contir�uc cn lo thc next <br /> question. ' <br /> �NVIRONf:�Lr:TAL Cf1IsCKI.IST PORh4 , <br /> I. IIACKGROUPID <br /> 1. Nnmo of Prot,onent ^"i'^;='' �. C'�-^C1J <br /> 2. Address and 1'lionc PJu���Uar uf Pi•oponeni: <br /> � Q�n(? li�.� �� Ac�r: N, r <br /> . f3CC•:-' VVC-:�_fl1R :;N 98005 _ . <br /> '�4G . o i c�o ----- . <br /> 3. D:ilc :,hecl:li::i :lubu�iif���l JUNG "7, 1�7� __ I <br /> I._ • • . , T <br />