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910 SE EVERETT MALL WAY DAIRY QUEEN 2016-01-01 MF Import
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910 SE EVERETT MALL WAY DAIRY QUEEN 2016-01-01 MF Import
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Last modified
5/19/2017 6:41:29 AM
Creation date
2/13/2017 9:04:36 AM
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Address Document
Street Name
SE EVERETT MALL WAY
Street Number
910
Tenant Name
DAIRY QUEEN
Imported From Microfiche
Yes
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Ycs Mnybc No <br />i <br />i _ <br />�(19) Recrcation. Will e proposal result in an impac �pon thc quality — � <br />or quantity of existing recreational opportunities? <br />Explanation: <br />(2p) Archeolo�ical/Historical. Will the proposal resultstructureCeobject � <br />of a significanC archeological or historical aite, — <br />or building? <br />Explanation <br />III. SIGNATURE <br />I, [he undersigned, sCate that to the best of my knowledge the above inform��ion is <br />true and coiaplete. It is nnderstood that the lead agency maY withdra�a any declarat'on of non- <br />siRnificance that it might iasue in reliance upon this checklist ahould there be any misrepresc <br />tacion oz lack of full disclosuTe an my part. <br />IV. ➢ECLARATZON OF RESPONSIBLE OFFICIAL: <br />r <br />Pxoponent• <br />,�jen� _ ,�e/� e JXc. ) <br />The above described project is a major action with (significan[, insignificant) <br />impact and (will, will not) require an Environmental Impact Statement. <br />Responsible Official <br />
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