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Yes n be ho <br />(19) Recrentlon. Will the proposal result in an impact upon the quality <br />or quantity of existing recreational opportunities?_ <br />Explanation: <br />(20) Archeological/Historical. Will the proposal result in an alteration <br />of a significant archeological or historical site, structure, object <br />or building? — X <br />Explanation: <br />III. SIGNATURE <br />I, the undersigned, state that to the best of my knowledge the above information is <br />true and complete. It is understood that the lead agency may withdraw any declaration of non - <br />significance that it night issue in reliance upon this checklist should there be any misrepresen- <br />tation or lack of full disclosure on my part. <br />Proponent:, <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br />The above described project is a major action with (significant, insignificant) <br />Impact and (will. will not) require an Environmental Impact Statement. <br />Responsible Official <br />1 <br />