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8812 3RD AVE SE 2016-01-01 MF Import
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8812 3RD AVE SE 2016-01-01 MF Import
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Last modified
3/7/2017 10:36:52 PM
Creation date
3/7/2017 10:36:33 PM
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Address Document
Street Name
3RD AVE SE
Street Number
8812
Imported From Microfiche
Yes
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, ' - ' ' Ycs �be i!q ' <br /> {19)' .Recreation. Will [he proposal result in an impact upon the quali[y � � <br /> • or quantity of exis[ing recrea[ional oppor[unities? <br /> Explanatlon: � . • � <br /> (20) Archeoloy,ical/Ilis[orical. 4H11 the proposal result in an al[eration j <br /> of a significant archeolagLcal or his[orical si[e, struc[ure, object y <br /> or building? � <br /> ' _ — I <br /> Explanation• � <br /> I <br /> ' I <br /> III. SIGNA7'ITRE ' I <br /> ' � I, the. undersigned, state [hat to the best of my knowledge [he above information is • I <br /> true and complete. It is understood that the lead agency may wi[hdraw any declaration of non- i <br /> significance [hat it might issue in reiiance upon this checklist should there be any misrepresec:- <br /> tation or lack of full disclosure on my part. � , � <br /> Proponent: �§��,C( C�w-�ln..�_ ) I <br /> IV. �DECLARATION OF RESPONSIBLE OFFICIAL: �`ti""`-��- �"4'`'Z'L�ut� <br /> The above described project is a major action wiCh (significant, insignificant) <br /> impact and (uill, will not) cequire an Environmental Impact Statement. '. <br /> i <br /> Responsible Official <br /> ; I <br /> � ' � <br /> � , y 3 <br /> i <br /> 1 <br /> i <br /> � <br /> . 3 <br /> j <br /> s <br /> t <br /> t <br /> • � i <br /> f <br /> . I <br /> . I <br />
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