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� <br />r <br />Y=_s N�ybe No <br />(19) Rccrcatfon. Will tiie proposal�resul[ in an lmpact upon th� quality <br />or qua�titity ot existing recrea[ional opportuniCies? _ X <br />Er.pJanation• <br />(20) Archeolop,ica]/Ilistorical.. 4)ill the proposal result in an alteration <br />of a sienificant archeological or his[orical site, structure,•object <br />or buildin�? <br />Explanation <br />III. S2GNA:URE <br />X <br />I, the undersigned, state that to tl�e best of my knowledge the above information is <br />true and conplete. It is understood that the lcad agenc;- may withdraw any declaral•ion ot non- <br />significance that it might issue in reliance upon this checklist should there be any mistepreser�- <br />tation or lack of full dzsclosure on my part. � I <br />? I <br />Proponent: ��f ���� I�������F � <br />� C. Scot'a •�Snan s; 'CDP., ?.nc. <br />IV. DECLARATION OF R£SPONSIALE OFFICIAL. • <br />.Tl�e above described projecC i.s a major action wicli (significant, inr;ignificant) <br />impact and (caill, will not) requ�re an Environmental Impact Statement. <br />ResponsiUle Official ' <br />'� <br />