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, . ' . . '^ . . . . --•,. . <br />. , i <br />(19) Recrnation. l•lill tl�e proposal result in an impact ❑pon the quality <br />or yuantiey of cr.is[ing recrcalional opportunitics? <br />Eaplanation: <br />Yes TI7Ybc No <br />(20) ArcheoloGical/}listorical. l•.'ill the proposal result in an alteration <br />of a significant archeological or historical site, structure, object <br />or building? — <br />Explanation: <br />0 <br />III. SIGNATURE <br />Y <br />� <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 caithdraw any declaration.ef non- <br />significance that�it might iss�e in reliance upon this checklist should there be any misrepresen- <br />tation or lack of full disclosure on my part. <br />IV. DECLARATIOr OF RESP0ISIIILE OFFICIAL: <br />Proponent:__�L2Yr %%• �{!%%1��� - - <br />_s_-�, <br />I <br />The above descriUed ptoject is a major action with (si�nificant, insignificant) <br />impact and (will, will not) require an Environmental Impact Statement. <br />' ' Responsible Official <br />� <br />f <br />i <br />u <br />