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Yes May}Le No <br />(19) Recreation. 4Iill the proposal result in an impact upon the quality '/. <br />or quantity of existing recreational opportunities? <br />Explanation: <br />(20) Archeological/Historical. Will the proposal result in an alteration <br />of a significant archeological or historical site, structure, object <br />or '.,ui lding? ' -- <br />Explanation: <br />III. SIGNATURE <br />1, the undersigned, state that to the best of my knowledge the above information is <br />true and complete. It is understood that the lead agency may withdraw any declaration of non - <br />significance that it might issue in reliance upon this checklist should there bey misrepresen- <br />tation or lack of full disclosure on my part. <br />Proponent:_f <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: ' . <br />The above described project is a major action with (significant, insignificant) <br />impact and (will, will not) require an Environmental Impact Statement. <br />Responsible Official <br />0 <br />