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6408 EVERGREEN WAY 2016-01-01 MF Import
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6408 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/12/2017 8:47:01 AM
Creation date
2/9/2017 10:28:58 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
6408
Imported From Microfiche
Yes
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(e) Storm water drainage? <br />(f) Solid wast� and disposal? <br />Explanation: C(,.f;/. ( . ,�-� „� ;,` <br />! <br />f' <br />(17) Human Health. Sai11 the�proposal <br />• result in the creation of.any <br />health hazard or potential health <br />hazard (excluding mental health)? <br />Explanation: <br />(18) Ae�sthetics. j�7i11 the pronosal re- <br />sult in the obstruction o� 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 />Explanation: <br />(19) Recreation. P7i11 the proposal re- <br />�suit in an impact upon the quality' <br />or quantity of exisfing recrea- <br />tional opportunities? <br />Explanation: <br />(20) Archeological/Historical. Saill the <br />,proposal result in an alteration of <br />a'significant archeological or his- <br />torical site, structure, object or <br />building? <br />Explanation: <br />III. SIGNATURE <br />Yes Maybe No <br />✓ <br />0 <br />✓ <br />.1'. G'�'��,"��~� <br />� <br />I./ <br />', I, the unde�signed, state tha� to the best•oE my knowledge <br />the above information is true and complete. It is understood i:hat <br />tIie lead agency may withdraw any declaration of non-signficance <br />ttiat it might issue�in reliance upon this checkTist should there <br />be any misrepresentation of lack of full disclosure.on my part_/. -1/ <br />Proponent: . /,;-•�,,:/(%;, � :-s/`�,,,c%�„ %� <br />�r•� . <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: ' ' <br />The above described project is a r�ajor action with <br />(significant, insignificant) impact and (will, will not) require an <br />Envirorunental Impact Statement. , ' <br />, r, /% <br />��������1/(�' <br />' Respansi6'le Officia�. , <br />�� <br />� <br />
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