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III <br />(19) Recrea[ion. 'dill ehe proposal result in an impact upon the quality <br />or quantity of existing recreational oppoLtunities? <br />Explanation: <br />(20) ArcheoloQical/Historical. Will the proposal result in an alteracion <br />of a significanc archeological or historical site, structure, objec[ <br />or building? <br />Explanation: <br />,�.pCri..�t . ✓%��...�d.�-�A <br />SIG ATURE <br />. �.�:ti.- .d�.u,�,.C:,�. <br />Yes ;tavoe <br />x <br />_� — <br />,� �wr- �-�- <br />, <br />..�/�.,�t.�.�� <br />�" �,.. �,c,.� <br />w / „ <br />��� <br />I, the undersigned, state that co the best of my knowledge the above information . <br />[rue and comple[e. It is unders[ood tha[ the lead agency may withdraw any declaration of n <br />siRnificance that it miSh[ issue in reliance upon this checklist ould there be any misre? <br />tation or lack of full disclosu:e on my part. � <br />proponent: <br />� ' .�'L , EL+�c� <br />�,�.,�. c9�i�tcr.o-[� <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 Environmeneal Impact Statement. <br />Responsible Ofiicial <br />t_ <br />1 <br />J <br />1 <br />, <br />J <br />