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4310 COLBY AVE 2018-01-01 MF Import
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4310 COLBY AVE 2018-01-01 MF Import
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Last modified
1/7/2019 2:46:16 PM
Creation date
1/27/2017 3:09:30 PM
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Template:
Address Document
Street Name
COLBY AVE
Street Number
4310
Imported From Microfiche
Yes
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- ' ' � •-. <br /> � � ` Yes Maybe • No <br /> ,(e) Storm water drainage? _.., X <br /> (f) Solid waste and di�posal? _ X <br /> Expianation: ; <br /> (17) Human Health. Will the proposal � <br /> result in the creation of any <br /> health hazard or potent?al health <br /> hazard (excluding mental health) ? ,_ X <br /> Explanati�n:. _ ' <br /> (18) Aesthetics. Will the proposal re- ' <br /> sult n the obstruction of any <br /> scenic vista or view open to the <br /> public; or will the proposal re- <br /> �ult in the creation of ar. aesth�- <br /> ti.cally offensive site open to . <br /> public view7 . • — -x- <br /> • Explanation: � <br /> (19) Recreation. 'Will the proposal re- <br /> su t in an impact upon the qual.ity • <br /> � or quantity of existing recrea- • <br /> . , tional opportunities? • _ X <br /> Explanation: � <br /> (20) A.rcheological/liistorical. Will the ' <br /> . proposal. result• in an altera:'.on •oE <br /> a 'significanL• archeological or his- <br /> torical site, structure, object .or . <br /> buildinc�? ._ �-=- . <br /> Explanation: " � • <br /> III. SIGNATURE <br /> � , 7.� the undersigned, staie ti�at to tne besi: of: my knot:)ed�e <br /> the above infai�natibn is true and' complet:e. It is v�ic�erstood tt.ri. <br /> the lead agency may i•rithdra�v any declaration of non-signficance <br /> that it might issue in reliance upon this checklist should there <br /> be any misrepresentaL-ion of lack of full disclosure on my part. <br /> • Proponent: _ <br /> IV, DECLI�RATION Or RESPONSIIIL� OFFICIAL: <br /> The above described projec� is a major acl:ion with <br /> (significant, insignificant) impact and (will, toill not) requirc an <br /> ' Environmental Tmpact State�aent. <br /> Responsible Offi.cial <br />
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