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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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Yen Ma� .. i:o , • <br />(1g) Recrcati�n. Will thc proposal r.c�ult.in an impact upon Che quality X <br />or quantlty of exlsting recrentional opporl•uni[ies4 __ __— -- <br />Explanntion: <br />(20) Archeol.o�ical/1Ii.sCorical. Will the propnsal result in an al[eraclon <br />of a significant archeolog?.cal or historical site, structure, object <br />or building? — �— <br />Explanation: <br />III. SIGNATURE <br />I, the undersi3ned, state that to the best of my knowledge the above�inform�tion is <br />Crue and complete. Ie is understood that the lead agency may withdraw any declara[ion of non- <br />significance that ie m3ght issue in,reliance upon this checklist should there be any mis:epresen- <br />tation or lack of full disclosure on my part. <br />Ptoponent: ��— <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br />The abwe described project is a major action with (significant, insignificanr) <br />�mpact and (c:ill, will not) require an Environmental Impact Sta[emen[. <br />Ree;ponsible Official <br />
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