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.. , <br />, Ycs M:i�h�. tlu-- <br />.(19) itecrcatlon. 41ill Lhc praposal recult in an impact upon thc quality <br />or quantity of exls[Lng recrcational opportunities? _ __ X__ <br />F.•r.planatlon: • <br />(20) Archeolo�i.cal/Historical. 41i11 the proposal result in an alteration <br />of a significant archcological or liistorical site, structure, object <br />or building? _ r <br />Explanation: <br />III. SIGt�ATURE <br />' I, the.undersigned, state that to the best of my knowledge the above information is <br />true and complete. It is understood ttiat the lead agency ma� withdraw any declaration of non- <br />sip,nificance that it might issue in reliance upon this checklist should there be any misrepresen- <br />tation or lack c: full disclosure on my part. <br />1 <br />Proponent: � �_�i�_.�� <br />rc itect or ronti,�r aB nk <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: � <br />The above described project is a major action with (significant, insi�nificant) <br />impact and (will, wi12 not) require an Environe�ental Impacc Statenent. <br />� <br />ti <br />Responsible Official <br />A <br />I <br />