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�NVIfiOid.'.1t;�;7'AI. CIIGCICI.iST <br />(,�35.00 I�cc ltcyuircd) <br />��� � � � �;, ;, , .. <br />O�j �,, L� <br />�,, - ,y7g <br />.......:.. <br />CI T 'y".._...^ .................. <br />Introduction: Tl�e Stnte Environmc�ntnl Policy Act of 1971, Or ,£ -- <br />Chapter 43.21C, I:C�9, requires all stntc and locrQ governmentnlu�'�Q �voEs�`��rµ� <br />agencies to consider environmentnl values Loth for their own - ' <br />actions and when licensing privnte proposals. The Ac! also <br />requires thnt nn LIS be prepared for nll major ncrions significantlyn (5 �(; ��!f] �'S r <br />affecting the quality of the environment. 'fhe purpose o: this I�'�` IS u IS � � <br />checklist is to help the ngencies involved determine tvhether or not`�"' � �� <br />u proposal is such n major action. NOV 2 � 1978 <br />_ Please answer the follo�ving quesrions as completely as you can - CITY OF EVERET <br />. with the informatioti presently available to you. j4here expla*tstions <br />Planninb Dept. <br />of yo�r anstvers r�re required, or ti��here yon bclieve an expianation <br />would be helpful to government decision makers, include yaur <br />explanation in the space provided, nr use additionnl pn�es if <br />necessary. You should include references to any reports or studie� <br />of which you a:e aware nnd tvhich are relevant to Uie ans�•�ers you <br />pro��ide. Complete »nswers tc d�ese questions r.ow will hclp ull <br />agencies involved with your proposal to underlal:e :he required <br />� environmental review witnout unnecessnry deliiy. • <br />The follotvinr; questions apply to your total proposal, not just to the <br />liceuse for tivhich yuu ara curr2ntly applyii�� oi• tl�e proposul foi• <br />which upproval is sought. Your ansxers should include tlie inpacts <br />which ivill be cause3 by ycur proposal s:hen it is c�mpleted, even <br />though completion may not occur unti: sometime in the future. This <br />will sllo�v r11 of the agencies which �sill Ue invotved to complete <br />their environmental review now, �vithout duplicnling paperwork in <br />the future. . •�••� <br />NOTE: This is a standard form being. used by sill state and locai <br />agencies in liie State of C7ashinbton for vurious types of proposals. <br />Mnny cf the questions may not apply to your propasal. It u qu'estiou <br />does not apply, just nnstieer it "no" and conrinue on to the r.est� <br />question . : <br />� <br />EI�R'IRONti1GNTAL C[IECItLIST PORIIi <br />I. De1CKGROUND <br />� <br />� <br />� � <br />1. Nume of Prn�onent f{q r/�!'n�/r �.. �,-c,�,�,Z <br />2. Address nnd Phone Numbr.'r ot Pru��onent: <br />Q o , c "-?.., - - - - � �' <br />C-�/ C. � c--i , �%` � <br />� 'i . � - 1 � t�. `� . . <br />;i. Date Checl:li:ct :;u�iuitted 9• i; ; ;' — <br />1�' <br />�� <br />� <br />