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• � ' � Yee Mnybe No <br /> (19) Recr��:ion. Will the proposal result in an impact upon the quali[y ✓. — <br /> • or quantity of exlsting recreational opportuni[ies? _ <br /> Explanation: <br /> o ical/ftistorical. Y1i11 the proposal result in an alteration <br /> (20) Archeol g � <br /> of a significant archeological .or historical site, structure, object <br /> or building? —' — <br /> Explanation• <br /> III. SICNATUFtE <br /> I, the, undersigned, sta[e that to the best of my knowledge the above information is <br /> true and complete. It is understood that [he lead agency may withdraw any declaration of non- <br /> significance that it might issue in reliance upon this checklis[ should there be any miarepresen- <br /> [ation or lack of full diaclosure on my part. , ; <br /> /"/ � �/ r. . /� <br /> . Yroponent:; :L - �� / ' ` �"'-' - <br /> . I�:.u ) e ,r N14t_,J•�f\.1•'�� . <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> The abwe described projec[ is a major ac[ion with (significant, insignificnnt) <br /> lmpact and (caill, will not) require an Environmental Impaet Statement. <br /> Reeponaible Officlal <br /> II • <br /> l <br />