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'. • • • Yca rfagbe No ' <br /> � ' (e) Storm water drainage? • X • i <br /> . (f) Solid waste and disposal? _ X � � <br /> '� ' �xplanatiorx: (a) , (b) , (c) , (d) , (cl On-site utilities will <br /> � • Ue provided and connected to existing Yrojec[ taill no—t�ter . � <br /> g�ititin� sys[cma. � . . . I <br /> ; (17 j Hunan llealt3�. Will the proposal � � � i <br /> ! , • result in t3ie creation of. any � <br /> � healtii hazard or potential health <br /> � hazard (exc3uding mental health) ? , _ ' X I <br /> . Explanation: � <br /> . (18) P.esthetics. Will the pronosal re- . � <br /> � sult in the obstruction o` any � <br /> scenic vista or viec•� open to the ' <br /> ' public, or will the proposal re- <br /> sult in the crration of an aesthe- , <br /> tically ,offensive site open to X <br /> • public view? ' -_ � <br /> Explanation: � <br /> (19) Recreation. Will the proposal re- � <br /> ' sul't in an impact npon the quality <br /> or quantity cf existina recrea- � <br /> tional opportunities? . _ X ' <br /> Explanationc <br /> (20} Archeoloaical/Iiistorical . Will the , <br /> ,proposal result in an alteration of <br /> , a significant archeological or his- � <br /> torical site, structure, 'object or <br /> buildiny? . _ ' X <br /> Explanation: ' � <br /> III. SIGNATURE . . <br /> ' I, the undersigned, state that to the best of my kiiowledge <br /> i:he above information is true and complete. It is understood that <br /> the ].ead agency may withdraw any declaration of non-signficance <br /> that it might issue :n reliance upon this checkl'ist should there <br /> be any misrepresentation of lack oi fu11 disclosur:� ri� m•�part. <br /> t '�' �i <br /> Proponent: ��%,/,l( �1G�1�1i <br /> IV. DECLF�2tATI0N OF RESP0:7SIBLE OFFICIAL: �ohn 1.. Rogers�Por <br /> , Seattle-First National Bank <br /> The above described project is a r�ajor action with <br /> (significant, insianificant) impact and (will, will not) .require an <br /> Environmental '�mpact Statement. • • <br /> � • Responsiblc Cfticial • <br /> �. <br />