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3207 COLBY AVE 2016-01-01 MF Import
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3207 COLBY AVE 2016-01-01 MF Import
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Last modified
1/27/2017 10:27:36 AM
Creation date
1/27/2017 10:26:21 AM
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Address Document
Street Name
COLBY AVE
Street Number
3207
Imported From Microfiche
Yes
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�� •. ; . . , . <br /> .• .�� . • ' _es Maybe No <br /> � � � (e) Storm aater drainage? � _ <br /> (f) Solid waste and disposal? <br />� • ' Explanation: i� 5 .Jitft Ndt'f'(?'E �i�) to �ntF <br /> � ����r.�G. <br /> (17) Iiuman Health. A'ill the proposal ' <br />' , result in the czeation of. any <br />' health hazard or potential health � � <br />� hazard (exaluding mental health) ? ' <br /> i Explanation: , <br />� <br /> (18) Aesthetics. Will the pr000sal re- <br /> sult in the obstruction of a:iy <br /> scenic vista �r view open to the ' <br /> i public, or will the proposal re- <br /> sult in the creation of an aesthe- <br /> tically of:ensive site open to . � <br /> I public view? _ ` <br /> Explanation: \ <br /> (19) Recreation. Will the proposal re- � <br /> � sult �.n an imoact upon the quality • , <br /> or qi:antity oi existing recrea- — � <br /> tional opportunities? <br /> Explanation: ' <br /> (20) Archeological/Historical. Will the ' <br /> proposal result in an alteration of <br /> , a significant archeological or his- <br /> torical site, structure, object or • � <br /> building? . _ <br /> Explanation: � <br />� <br /> . <br /> i III. SIGNATURE . <br /> � I, the undersigned, state that to the best of my knowledqe <br /> , the above infozination is true and complete. Ii is understood that <br /> � the lead agency may withdraw any declaration of non-signficance ' <br /> that it might issue in reliance unon this cl�ecklist should there <br /> ' . be any misrepresentation of lack of full dis losure o m, par � <br /> ' Proponent: <br /> � IV. DECLARI,TION OF RESPONSIBLE OFFICIAL: M�NO nSSO CI Si <br />' . The above described project is a r�ajor action with <br /> (significant, insignificant) impact and (will, will not) require an <br /> Enviro�tmental Impact Statement. • <br /> � Responsible Official . <br />� . — --- -- — <br />
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