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210 W CASINO RD 2016-01-01 MF Import
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210 W CASINO RD 2016-01-01 MF Import
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Last modified
1/25/2017 7:53:56 AM
Creation date
1/25/2017 7:53:32 AM
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Address Document
Street Name
W CASINO RD
Street Number
210
Imported From Microfiche
Yes
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. . '. . � C ( Yea Maybe N„o"'�" <br /> •'• .. : . . t � <br /> , (19) Recreation. W111 t6e propoeal resul[ in an impact uQon the quality � <br /> or quantity of ezisting recreational apportunities4 _. � <br /> g�cplanation: ' � . <br /> . ;� <br /> (20) Archaoloqical/Historical. Will thc propo�al reeult in an alteration <br /> of a eigniEicant archeological ot historica7. eite. structure. object � <br /> or building4 ' — . <br /> Explanatton: <br /> III. SIGNATURE <br /> I, the uoderaigAed, state that ta thn bea[ of my �O�ithdracthr.a bdeclarat ontof.nnon-- <br /> tsue and complete. It ia unders[ood that the lead agency mny Y <br /> sigaificanca tbat it mi8ht iesue in reliance upon this checkiist ehould there be any misrepreeen- <br /> tatloo or lack of full disclosure on my part. <br /> . � <br /> Yroponent: �i�•' � <br /> C��� <br /> IQ, DECLARATION OP RESYONSIBLE OFFICIAi.: • <br /> The abwe described project is a major acCion crith (aignlficant. insignifxcant) , <br /> 1mRact aud (wf.11, will not) require an Environmental Impact Statement. ; , <br /> ♦ . . • <br /> . � <br /> • Reepoaeible Offlci.al <br /> ' . <br /> � <br />
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