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' (.l9) Recreation. Will the proposal result in an impact upon [he quali[y ✓ <br /> or quantlty of existing recreational opportunities? _ _ <br /> Explana[ion: � . <br /> I <br /> (20) Archeological/HSstorical. 'dill the proposal result in an alteration <br /> of a significant archeological or historical site, structure, object / <br /> or building? — � <br /> Explanation• <br /> CI. SIGNATURE <br /> 2� . [he undersigned, state that to the best o£ my knocaledge the above information is <br /> rue and complete. It �s under;tood that the lead agency may c+ithdrav any declaration of non- <br /> [gnificance [hat it might issu�: in reliance upon this checklist should Ehere be anq mierepresen- <br /> �tion or lack of full disclosu•:e on my part. <br /> � J /'"")', <br /> F'roponent:,�G�-!t"L I�'i �`�`=`�, <br /> [V. DECLARATION OF RESPOFSIBLE OFFICIAL: <br /> The abw�: described ��roject is a major action with (significant, insignificant) <br /> �pact and (vill, rrill not) re�;uire an Environmental ImpaSt Statement. <br /> Responslble Official <br /> • ' _I <br /> . � <br /> � � <br /> �,!. <br />