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�� <br />•(i�9)'_P.esreation. a'iil the proposal result in an impact upon the quality <br />� or quantity ot existing recreational oppoztunities? _ <br />F.xnlanation: • <br />(20) Arcneological/Historical. Will t�e proposal result in an alteratior. <br />of a sign.i.ficant archeological or Sistotical site, structure, oTajact <br />or building? N <br />Explanation: <br />.ZI. SIGNATLSE <br />—2- <br />I, the un3ersigned, state that to the best of my knowledoe the above info�mation is <br />:ve and complete. It is understood Chat the lead agency may withdraw any declaration of r.on- <br />ignificance that it m3ght issua in reliance upon this checklist �I�uuld there be any misrep ..sen- <br />ation or lack of full disclosure on my part. ,t /j� �, � �%' <br />Propo e�t <br />TV. DEG7.=+Rr.-T_ON OF RESPONSI3Li OFFICItLT.: G�� <br />Tine abwe described project is a major acti.on �:ith (significant, insignificant) <br />apact aad (wi.11, vill not) require an Eavironmental Iupact Stater�er.t. , <br />RespoasiL•la Official <br />