4608 DOGWOOD DR 2018-01-02 MF Import

i ENVIRONMENTAL CHECKLIST Iu 9-- t ($25.00 Fee Required) FEB ri.TK t �t.19i� Introduction: The State Environmental Policy Act of 1971, Chapter §gUjd E g-�t� state and local governmental agencies to consider environmental values lioCit"PoD eheir oall wn actions and when licensing private proposals. The Act: also requires that an EIS be for all major actions significantly affectingthe i.the prepared of this c1lac -o 1. is to help the agencies involveddeterminewhether envlornnot ta proposal �isesuch a major ac -oil. Please answer the following questions as completely as you can with the information presently available to you. Where explanations of your answers are required, or where you believe an explanation would be helpful to government decision makers, include your explanation in the space provided, or use additional pages if necessary. You should include references to any reports or studies of which you are aware and which are relevant to the answers you provide. Complete answers to these questions now will help all agencies involved with your proposal to unde.take the required environmental review without unnecessary delay. The following questions apply to your total proposal, not just to the license for which you are currently applying or the proposal for which approval is sought. Your answers should include the impacts which will be caused by your proposal when it is co:*.pleted, even though completion may not occur until sometime in the future. This will allow all of the agencies wi—ch will be involved to complete their environmental review now, without duplicating paper work in the future. VOTE: This is a standard form being used by all state and local agencies in the State of Washington, for various types of proposals. Many of the questions may not apply to your proposal_ If a question does not apply, just answer it "no" and continue on to the next gir,estion. ENVIRONMENT 1 CHECK'i.IST FORIJ 1. BACKGROUND 1. Name of Proponent r ik 2. Address and Phone Numberrof Proponent: �QQ ' (Jg �41or�� V F 3. Date Checklist Submitted 4. Ag^rcy Requiring Checklist City of Everett 5. Name of Proposal, if applicable: 6. Nature and Brief Description of the Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature): 7. Location of Proposal (d .cribe the physical setting of the proposal, as well as the extent of the land area affected by any environmental impacts, inc '.:ding any other information needed to give an accurate understanding of the enviro:....ental setting of the proposal): Southwest corner of mukilte -) Blvd. and Dogwood AVnnn- next to the Dark of Ever, and across _the street from 7-1-1. east,. and a as sthe 4 Cation a:.cl shopping center to the north. S. Estimated Date for Completion of Clio Proposed Action: