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.. _. � . -, � � d � odra <br /> • • L'NVIIiONMI:NTAL CII�CICLIST <br /> � _ SEP 2 01979 <br /> . CIT3C OI� �VER,ETTi <br /> • Introduction: The Stnte �nvironmental Pnlicy Act of 1971, Planning Dept, <br /> Chapler 43.2:C, RC�Y, requires nll state mtd locol govei•nmentol <br /> . agencies to consider environmental vnlues both for tlieir own <br /> ections and when licensing private proposrils. The Act also <br /> requires that an EIS be prepared for all major actions significantly - ' I <br /> effectinE; the quality of the environment. The purpose of this i <br /> checklist is to help the agencies involved Qetermine whether or not i , <br /> a proposal is such a major action. ' wi�� <br /> Pleese ans�ver the following questions as completely as you can <br /> with the informntion presenQg avnilable to you. �9here exPlanatic:is <br /> of your answers ¢re required, or tvhere you Uelieve on explanatio�t <br /> would be helpful to government decision makers, include your <br /> explanation in the space provided, ur use udditional pegea if <br /> necessnry. Xou should include references to nny reports or studies <br /> ot which you are aware and �vhich are relevant to the ans�vers ,you • <br /> ' provide. Complete �ns�vers lo these questions now tvill help aIl . <br /> egencies involved with your proposai to undertake the r�quired <br /> environmental revietiv tivithout winecessnry delay. ' <br /> I <br /> • The foll.o�ving questions spply to your totnl proposal, not juct to il�e . �, <br /> Hcense for t��hich you nre currently upplying or the praposal for ' <br /> .. � which upproval is sought. Your m�s�vers should inelude the impncis; <br /> which tvill Ue caused by your proposal wlien it is completed, even <br /> though co:npletion may nct occur until sometime ih the fuiure. 'Phis <br /> will nllo�r rJl of the agencies vrhich will be involved to complete <br /> , their environmental revieiv nov�, 1viUxout duplicaring paper��ror]c in <br /> the fature. ' . <br /> NOTE: 'I'Iiis i& a sta;idaa�ci ;orrn Ucing itsed by all ctufe nnd 1ocnl <br /> • a�;encies in the Sta±e of 1Vashington for various types of proposn)s. <br /> T4any of tlie questions may not apply to yow+ proposal. Tf r+ quection <br /> doea not apply , jiist ans�acr it "no" and conti*���e on to tl�e riex.t: <br /> . question. ' . . <br /> � ENV1R02�",�7�11TAL CII�CI{�IST PORR4 • <br /> ' � � <br /> • '.' s � . <br /> I. BACIZGR�UND <br /> l. t�nme of Proponent 43rd 6 colbv Doctors Clinic <br /> 2. Llddress nnd Phone Number of 1'roponent: • <br /> c!o Cooacr S Stack -- ____. <br /> �125 Colby r <br /> Everett, HA. <br /> ' 3, Antc Chc..l:li�t StiUmiltcd s�tcm�er_�q,�,�Z���_..___..---•-.- <br /> . <br /> , � • • . <br /> rf�r,,+a <br />