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3425 COLBY AVE 2016-01-01 MF Import
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3425 COLBY AVE 2016-01-01 MF Import
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Last modified
1/27/2017 11:29:13 AM
Creation date
1/27/2017 11:27:04 AM
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Template:
Address Document
Street Name
COLBY AVE
Street Number
3425
Imported From Microfiche
Yes
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. . , '' s Maybe tio � <br /> , � . � �:. �. `:'" <br /> ' ' , „ I <br /> (e) Storm water drainaqe? _ '✓ ` <br /> � � (f) Solid waste and disposal? _ ✓ ( <br /> • • Explanation: l�n�anr? i•/vr/ C� i'�rri:�;. r.� T�e ��� _ i <br /> • Q/%k'�1/tNi �[nw'j' � <br /> • (17) Human Health. Will the proposal _ ' <br /> • zesu t in the czeati�n of. any <br /> � , health hazard or potential health / <br /> hazard (excluding mental health)? _ ' v <br /> Explanation: • <br /> ' (18) Aesthetics. Will the pr000sal re- <br /> • su t in the obstruction of any <br /> scenic vista or view open to the ' <br /> public, or will the proposal re- <br /> sult in the creation of an aesthe- . ' <br /> tically offensive site open to • • � <br /> public view? _. . <br /> FScplanation: <br /> ' (19) Recreation. Will the proposal re- � <br /> ' su t in an impact upon the quality' <br /> or quantity of exi.sting zecrea- <br /> tional opportunities7 _ � <br /> Explanation: <br /> (20) Archeoloqical/Historical. f�i.11 the ' <br /> ,proposal result in an altPration of <br /> . a significant archeological or his- <br /> torical site, structure, object or / <br /> building? • __ y <br /> Explanation: <br /> III. SIGNATiIRE <br /> • I, the undersigned, state that to the best of my knowledqe <br /> the above information is true and complete. It is understood that <br /> the lead agency may withdraw any declaration of non-signficance <br /> that it might issue in reliance upon this checklist should there <br /> be any misrepresentation of lack of full di�losure an m art. <br /> Proponent: '� � � <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> The above described project is a najor action .with <br /> (significant, insignificant) impact ar.d (will, will not) require an <br /> Envirormental Impact Statement. ' <br /> . � • • Responsible Official • <br />
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