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_�..._. _..___._ <br />_;.. _ _ _ Yes t�be Yo •. <br />(19) Recreation. Will the proposal result in an impact upon the quality �� <br />or quanticy af e;cistind :ecreational opportuni[1.es? _ <br />Explanation: � <br />(20) Archeolooical/Historical. 4Ti11 the proposal result in an alteration <br />of a signiEicant archeological or historical site, structure, object <br />or building? • .— -�-�� <br />Explanation• <br />III. . SIGNATURE <br />I, the undersi�ned, state thac to the best of my knowledge the above inEoraztion is <br />Crue and cc:�vlete. It is understood that the lead agency may withdraw any declaration of non- <br />significance that i.t mi�ht issue in reliance upon this checklist should there be any misreprzsen- <br />tation or lac�c of full disclosurz on my part. <br />Proponent: <br />1J. DECLARATION OF RESPO�IST_BLE OFFICIpS,: <br />The above described projece is a najor action :rith (significant, irsio ificant) <br />impact and (will, will not) requiie an Envirocaental Impact Statement. ' ' <br />Respon�ible Official . <br />5 <br />