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. . Ye: _ �t—� No <br /> e � I <br /> ( ) Stora water drainaqe. �( <br /> (f) Solid �•�ast.e and disposal? _ y <br /> Explanation: e — r�.�;'�,�v1GG' �� �:��:�—^ <br /> � <br /> GI{'t.� �.f':3l^.�-i:�i^=�lj . <br /> J ` <br /> (17) Fiuman Health. �•7i].1 the proposal <br /> resul.t in the creation of any <br /> healtli hazard or potential health <br /> hazard (excluding mental health) ? . _ � o <br /> Explanation: _ � <br /> ., <br /> m <br /> (18) Aesihetics. t9i11 t•he prot�osal re- �� <br /> su).-- t—in t}ie obstruction of any � � <br /> scenic vista or. view open to the "' m <br /> public, or will the proposal re- m � <br /> sult in ttie creation of an aesthe- � � <br /> tically offensi_ve site open to o m <br /> public view? _ �( _ � <br /> Explanation: R' � <br /> .o z <br /> - • c <br /> r 2 <br /> . rw r.� <br /> (19) Recreati.on. Wi11 the proposal re- � `^ <br /> sult in an impact upon tlie qualit.y ,� p <br /> or c;uantity of existing recrea- , " 3 <br /> tional cnportunities? `' _ �^ <br /> — �. m .� <br /> Exp.lanation: • o "' <br /> or <br /> � m <br /> • c �n <br /> — 3 �n <br /> . (20) Archeological/Historical. Will the � � <br /> proposal result in an alceration of • R+ <br /> a <br /> a 'significant archeological or his- A <br /> torical si.te, structure, object or -i <br /> x <br /> buildi.ng? _ ,� Z <br /> Explanation: _ <br /> N <br /> 2 <br /> O <br /> III. SIGNATURE � <br /> n <br /> I, the undersigned, state that to the best of. my knowledge `" <br /> the above informaCion is true and canplete. It is understood that <br /> the lead agency may withdra�v any declaration of non-signficance ' <br /> that it might issue in reiiance upon tl�is checklist should there <br /> be any misrepresentation of lack of full disc �sure on y) par J <br /> Proponent: � ��M�v�/ <br /> IV. D�CLARI�TION OP RESPONSIBL� OPPICIA • '� "l,1(�c�m� <br /> The above described project is a t�ajor. action �vith <br /> (significant, insignificant) impact and (will, wi].1 noi:) require an <br /> Environmental Impact Stai:ement. <br /> Responsible Ofiicial <br /> , � <br />