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Yes Maybe No <br />(17)- Recreation. ..Will the proposal result in an impact upon the quality <br />or quantity of existing recreational opportunities? n" <br />Ly.1.nS� D rF iF U <br />Explanation: Gr.40 oc s1 & w 1 \')J.A le rv� <br />(20) Archeological/Historical. Will the proposal result in an alteration <br />of a significant archeological or historical site, structure, object <br />or building? <br />Explanation: <br />III. SIGNATURE <br />I, 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 be anv misrepresen <br />tation or lack of fu31 disclosure on my part. <br />Proponent 4, <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 />