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i <br /> a <br /> , . , <br /> , <br /> , , . . • xes rtaybe No � . <br /> (19) Recreation. Will the proposal re�ult in an impact upon the quali[y � <br /> or quantity of existing recreational opportunities? _ � i <br /> Explana[ion: • <br /> -----i � <br /> I <br /> i <br /> (20) ArcheoloRical/Historical. Ylill the proposal result in an alte�ation <br /> . of a significant archeological or historical site, structure, object <br /> or building? . _ � <br /> Explanation: <br /> III. SIGNATURE " ' <br /> I, the undersigr.ed, state that to the best of my knowledge [he above information is <br /> true and complete. It is understood that the lead agency aay withdraw any declaration of non- <br /> significance that i[ might issue in reliance upon this checklist snould there Ue any misrepresen- <br /> tation or lack of full disclosure on c�y part. ' <br /> Proponent:'_�--��-ci (/ , l.w-.,,X�-�--�I j . <br /> —� _.'�— <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> The above described project is a major action with (sigaificant, iasignificant) <br /> imoact and (will, wi.11 noL) requi:e an F.nv�ronaental Impact Statement. � <br /> • Responsible Officia.t <br /> ' � <br /> . ` <br /> I <br /> ' � . • . � <br />