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Yes Maybe No <br />Q. Human Health. Will the proposal result in the <br />creation of any health hazard or potential <br />health hazard (excluding mental health)? % <br />Explanation: <br />R. Aesthetics. Will the proposal result in the <br />obstruction of any scenic vista or view open <br />to the public, or will the proposal result in <br />the creation of an aesthetically offensive site <br />open to public view? <br />Explanation:, Structure likely to limit northerly view as seen from <br />_W�� Stzeet ana o�ke�Ave^ue _ _ S. Recreation. Will the proposal result in an <br />impact upon the quality or quantity of existing <br />recreational opportunities? 31 <br />Explanation: <br />T. Archeological/Historical. Will the proposal result <br />In an alteration of a significant archeological <br />or historical site, structure, object or building? R <br />Explanation: Project will alter -environment immediately adjacent to _ <br />Scottish Rite Temple <br />ITI. SIGNATURE <br />1, the undersigned, state that to the best of my knowledge the above +nformntl�r. <br />is true and complete. It is understood that the lead agency may withdraw any <br />declaration of non -significance that it might issue in rel`.ance upon this'check- <br />list should there be any willful misrepresentation r wi'.l:ul lack of full <br />disclosure on my part. <br />Proponent <br />ROBERT DODGE, Sheriff <br />WAC 197-10-370 WITHDRAWAL OF AFFIRMATIVE THRESHOLD DETER`1INI.TION <br />If at any time after the entry of a declaration of significance, the proponent modifics <br />the proposal su that, In the -judgment of the lend agency, n11 sillnlficnnt ndvcrse <br />environmental impacts resulting therefrom are eliminated, the d(•clnrntion of all;nifleance <br />shall he 41thdrawn and a declaration of non -significance entered insterc;. The -fend <br />'agency shall also revise the registers at its SRPA Public Information Center accordingly. <br />If the proponent of a proposal is a private applicant, -the propo,aal-shall-not be -consid- <br />ered modified until all license applications for the proposal are revisel to reflect the <br />modification. <br />7 <br />