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. <br /> ` r <br /> : , � � Yes Mayb� No • <br /> . . - —'�. <br /> (19) Recreation. Will the proposal result in an impact upon the quality � � <br /> or quantity of existing recreational opportunities? _ <br /> Explana[ion: . <br /> (20) Archeological/Historical. Will the proposal result in an alteration <br /> af a signiEicant archeological or historical site, structure, ob�ect x <br /> or building? -- """–' <br /> Explanation: — ' <br /> III. SIG:IATURE <br /> I, tbe undersigned, stace that to th�� best of my knowledge the above infocmation is <br /> tsue and complete. It is understood that the lead agency may withdraca any declaration of non– <br /> siRnificance that it might issue in reliance upon rhis checklis[ should there be any misrepresen– <br /> tatioa or lack of full disclosure on my part. <br /> Proponent:7� fi '7 �•:'-iv�.���"' <br /> IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br /> The above described project is a major action with (significant, insignificant) <br /> impact and (will, wilJ not) require an Environmental Impact Stat�ment. <br /> Responsible Offici.al <br /> , <br />