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3409 MCDOUGALL AVE 2018-01-01 MF Import
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3409 MCDOUGALL AVE 2018-01-01 MF Import
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Last modified
11/15/2018 7:46:54 AM
Creation date
2/26/2017 5:51:55 PM
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Address Document
Street Name
MCDOUGALL AVE
Street Number
3409
Imported From Microfiche
Yes
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. , . , • Yea Nayhe No , <br />(19) Recrcation. k'S11 thc �roposal result in an 7mpact upon tlic quali[y V <br />' or quantity of existing recreatinnal opportunities? _ .-- <br />Exp]anation: <br />(20) Archeolop,ica]/fliscorical. V?ill the proposal result in an alteration <br />of a�sipnificant archeolcgical or historical site, structure, objec[ ✓ <br />or building? — '— <br />Explanation: <br />LII. SIGKATURE . <br />I, the undersigned, state that to the best of'my knowledge the above inforr.:ation is <br />true and co;.iple[e. Zt is understood that the lead agency nay withdra�a any declaration o: ncn- <br />siqnificance that it might issue in reliance upon this checklist should there be any misrepreser- <br />Cation or lack of full disclosure on my part. <br />' , Proponent • >vs ��-ri- <br />IV. DECLARATION OF RESPO\SIBLE OFFICIAL: <br />The above described project is a major action �.ith (significant, insignificant) <br />impact and (will, will not) require an Environmental Impact Stater.icnt. <br />Responsible Official <br />
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