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�, <br /> �.��� � - . <br /> � _ E�._RO\^�£,IT.aI. CHECXLIST <br /> Y <br /> (5�a.00 Fee Required) <br /> oduction: The Staee Environmeneal Policp Act oE 1971, Chapeer 43.21C, RCW, requirea all <br /> scaee and local governmental agencies co consider environmental values boeh Eor their ocm <br /> accione and when licensing privaee proposals. Ihe Act also requires e4ac an EIS be prepared <br /> for all aa.1or actions signi:icantly affeceing che quality oi the environment. ihe purpose <br /> of this checklisc is to help the agencies involved deter�ine whether or not a proposal is such <br /> a aa�or aceion. <br /> ?lease ansver ehe folloving questions as completely as you can with the Snforaation presenely <br /> available to you. 'lhere esplanations uc your answers are required, or where you believe an <br /> explanation vould be helpful ta govecnaent decision makers, include your explanatian in the <br /> epac� provided, or use additional pages i° nec=ssary. You should include references to anv <br /> repores or seudies oi cahich you are avare and vhich are relevant to the answe;s you orovidz. <br /> Caaplete answers [o chese queseions now wi11 help all agencies involved witS your proposal <br /> to undertake the required em�ironsencal revizur viehout unnecessary dalay. <br /> ihe Eollocring questions aoply to your total proposal, nae just to the license Eor which cou <br /> are currently applying or ehe proposal cor :rhich aoproval is sought. Your ansuers should <br /> :aclude the iaoacts vhich will be caused Sy your proposal anen it is ce�olzted� 2V2R though <br /> cc�?letion aay not occur uteil soaztiae in the fu[ure. Ihis srill a11ow all of [he ageacies <br /> :rnic4 :ri21 be iavolved ta cennlete their environaental review now, Wi�houc dupl=catin3 <br /> :aper vork in the iuture. <br /> �OTE: Ihis is a ;tandard for� Seing uszd hy a11 state and local agencies in the State oc <br /> ':ashingcon ior various cyozs oi pc000sals. uany oE the quescions ,�y noc a�ply co your oroposal. <br /> Ic a auestion does not apoly, ,just ansve: it "no" and coneinue on to t::e naxe questioa. <br /> _ 1�0.`��YT�I. CFiEC�'LiST e'OR�[ <br /> 1. 3�1CZGROUVD <br /> 1. xase oE �roponanc_ Garv Lewis . c/o Kieburtz & Simmonds P. O Box 1616 <br /> 2. :lddrass and Phone Vuaber of Proponenc: Be eVUe, 41as ington - Consu tants to <br /> _ Neuroloeical Associates . 1515 Pacific Avenue Everett Washington <br /> 3. Date Chec4lisc Subraitted 1�e 4. 19 79 <br /> 4. �lgency Yeauiring Checklisc C; ,.y_pf F.v <br /> i. Varse of Pronosal, if applicable: <br /> 5. `:ature and Brief Description of the P;oposal (including Sut 1ot lixited [o its size, <br /> 3eneral design ele�ents, and otSzr :accors that :ri11 give an accurate understandin3 <br /> of its scope and nature) : Renovatinn of old br' k b �' 1din� into o�^+er- <br /> nrri�ni ar1 m d; al cAecialty office space. <br /> : <br /> i. Location oE ?ronosal (descriSe che pnysical settin3 oi the pr000sal, as ue11 as the <br /> extant oz tie land area a£ceceed 5y any en��ironaen[el i�naccs, includ±n3 any ocher <br /> in_`o nation neaded to ;ivz aa accurate undz;s,anding oc che znv±rer.�eacal sect:n3 of <br /> �he pr000sal) : 1918 Everett Avenue <br /> ) <br /> 9. EstLaead ]ace cor Co�plzcion o: t:�e ?;000sad acci�n: ninetY (90) daYs £rom <br /> issuance of buildinQ permit <br />