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, - , <br />� . ENVIRODl�1fsI4TAL CIIIiCKI.IF" <br />� ' ($25.00 Pee Required) <br />_n:roduction: The State Environmenl'al Policy AcC of 1971, Chapter 43.21C, RCId, reyuires all <br />s:a[e and local governmental a�;eucies to cousider envLronmental values both Foe their ocm <br />acCions and �ahen licensing private proposals. 1'he Act :ilso requ_ires that an EIS Ue prepared <br />��> all ma,jor actions signiEicantly affecting the quality oF tlie enviranment. T'he purposc <br />o£ this checklist is to help the agencies involved determine whether or not a proposal is such <br />n sajor action. <br />^�7ease answer the following questions as completely as you can with the information presently <br />smailable to you. [dhere esplanations oE your answers are required, or where you believc an <br />scplanation would be helpful to governmen[ decision makers, include your explanation in [he <br />�ac� provided, or use additiopal pa�es if necessary. You should include references to any <br />=epor[s or sL'udies of which you are aware and which are relevant to the answers you provide. <br />f�omplete answers to these ques[ions now cfill help all agencies involved �aith your proposal <br />r.o undertake the required environ�ental revieca without unnecessary delay, <br />'Il"ae Eolloiaino questions apply tu your total proposal, not just to the license for which you <br />�cre currently applying or the oroposal for which approval is souoht. Your answers should <br />��Nlude the impacts which will be caused by your proposal cahen it is conpleted, even tliough <br />¢nmpletion may not occur until so�etime in the future. This will. alloca all oE the agencies <br />w$ich will be,involved to complete their environr�ental review noc:, withaat duplic�ting <br />�per work in the faturc. <br />�JOTE: This is a standard form being used by all state and local agencies in the State of <br />tizsliington Eor various tynes or nroposals, ifany of the questi.ons r�ay not ap��ly to your proposal. <br />d, a question does not apply, just ansc.er it "no" and continue nn to ttie nexl question. <br />s.vi/IRO.I';L•:-I'AL CHEC!�LIST FOR2•1 <br />Il_ BACKGROUVD <br />2. Name of Proponent ' KIATC )�CC.9TrTi'Y }{O�fES INC � <br />2. Address and Phone iQumber of Proponent: 7024 Everereen Tdav EverPtt ['A 9S2(l3 <br />3. Date Checklist SubmitCed De�cember 2E, 197E <br />4. Agency ?tequiring Checklist Citv of Everett <br />5. Yane of Proposal, if applicaUle: •EverFreen Souare <br />6, rlature and Bricf Description of the Proposal (inciuding Uut not limited to its size, <br />ocneral design elements, and other EacCors that will give an accurate understanding <br />of i.ts scope and nature): :o construct nei_�,i�orLood shonpin� Cen^cr <br />7. Location of Proposal (r:escrihe the physical setting of the praposal, as well as ttie <br />e;ctent oE the land area aftected by any environmental impticts, including any other <br />information needed to ;ive an accurate understanding oF the environmental seCting oE <br />the propusal): 7024 Ever�reen 6'av and Cady Road (See shcet) <br />e <br />8. Cstimated Untc Cor Complct{on of Lhc Proposed Action: Twentv Pour (24�) Pfonths <br />