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9515 EVERGREEN WAY 2016-01-01 MF Import
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9515 EVERGREEN WAY 2016-01-01 MF Import
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Last modified
5/19/2017 11:43:07 AM
Creation date
2/10/2017 2:24:58 PM
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Address Document
Street Name
EVERGREEN WAY
Street Number
9515
Imported From Microfiche
Yes
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�1 <br />(19) Recteaclon. W111 the proposal result 1n an impact upon [he quality <br />or quanti[y of eiisting recrea[ional opportuni[ies? <br />Explanation: <br />(20) Archeola�ical�g;s[orical. Will the proposal resul[ in an alteratloa <br />of a significant archeological or historical site, structute, object <br />or building? <br />Explana[ion: <br />IZI. SIGNATURE <br />Z <br />Yes 4aybe � <br />� tr=,. 1 <br />� <br />I, the undersigned, state that to [he besc of my knowledge the above infozmati:a ia <br />true and complete. It is understood that the lead agency ciay wi[hdrav aay declaratioa o' nan- <br />significance [hat ie might issue in rel.iance upon this checklist should thera be a� mis:eprese=- <br />tation or lack of full disclosure on my part. ^ <br />Proponen[;� � <br />IV. DECLARpTION OF RESPO�'SIBLE OFzICIAL: �' ^ <br />�'�r, f��, Q+cua� ,vq �-� <br />The abwe described projecc is a major action wi[h (significan[, insi <br />lmpact and (vil], will not) require an Environmen[al Impact Statemen�, g°�icaat) <br />Responsible Official <br />� <br />"i <br />� <br />
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