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� y.e�. K `_ 1� l <br />` • r k �;'Sr "}� �i':�ia` ��� t`.� , �.�_ � . _._..... �iQB •� •Fe~•� <br />. . ' ' 'i' :.f... . �.,.xty . t.. . . , -4- - <br />� . . � 6..i,..;. - :�_r...a..: . : v..3._. .. ..... � ..... . . . ' . .. . . <br />(19) Recreation ~ Wil2.the p=cPosal reeult in an impact u�oa the quality k <br />n quantitq o£ aziwting recreationai opportunit3ea4 _ _�. <br />� -'FapIaaation:.. .- - -�'" .. : � ':. . <br />� � . '.�" _, .r :�.i� .. . . . . • . <br />_ . _' .. ::T."-' . . .. .. . . . <br />_. . _ � . . ... . «�.t-. .. . � . .. � 1. t� <br />(20) Archeologi:al/H3storical. Will thg proposal reault ia an.a tera on <br />of a eignificant archeological or h3storical aite, structure, object _� <br />. or building4 — ' <br />Ezplanation: , _ , <br />LII. SIGNATIJRE <br />S, the undersigned, state that to the best of my imocrledge the above infarmation is <br />erue and complete. It is understoad that the lead agc:acy maq wi.thdraw any declaration of non- <br />aignificance that it mi8ht isaue in reliance upoa this checklist should there b�aa misrepresen- <br />tation or lack of full disclosure on my part. � G�/�c�14 <br />/ <br />Proponent: � � <br />1 <br />IV. DECLARATION OF RESYONSIBLE OF£TCIAL: <br />The abwe described project is a major action with isignificant, insignificant) <br />impact and (will, will not) require an Environmental Impact Statement. <br />Responsible Official <br />