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' , , � .NVIRONMEA`TAL CHECKLIST �� � �j"'� <br />($25.00 Fee Required) <br />Introduction: The State Environmental Policy Act of 1971, <br />Chepter 43.21C, RCW, requires nll stntc end local governmental <br />agencies to consider environmental vulues both for their own <br />actions end when licensing private proposals. The Act also <br />requires that an EIS Uc prepared for all major netions significantly <br />affecting the quality of the environme�t. The purpose of this <br />checklist is to help the ngencies involved determine whether or not <br />a proposa] is such a major action. <br />Please answcr th;. Collotivin� questions as compl^tely ns you can <br />with the information pres�ntly avtulnble to you. �9here explatiations <br />ot your answe��s are required, or where you believe un expinnnticn <br />would be helpCul to government decision makers, includc your <br />explanation in the space provided, or use additionul pngfs if ' <br />necessary. You should include references to uny report� or studies <br />of which you are aware and which are relevant to the answers you <br />provide. Complete answers to these questions now will help u21 <br />agencies involved with your proposal to underta}:e the required <br />environmenlal revie�v without unnecessary delay. ' <br />����fld�r <br />FkB 9 1978 <br />CITY OF ��' Li2E't <br />?;a.�... , . <br />The follo�ving questions apply to your total proposal, not just to the <br />license for �vtiich you are currently applying or the proposal for <br />which epproval is sought. Your anstieers should include the impncts <br />which will be caused by your p:oposal when it is completed, even <br />though completicn may not occur ur.til sometime in thc future. This <br />will nll'ow nli of Uie agencies which will be involved to complete <br />lheir environmentnl review now, without duplicnting paperwork in <br />the.future. • <br />• NOTE: This is a standard foi�m being used by all state, and locnl <br />agencies in the State of 19ashington for various types of proposals. <br />Many of the questions may r.ot apply to your proposal. If a question <br />does not.apply, just answer it "no" und continue on to the neat <br />question. <br />ENVIRONMENTAL CHECKL P FOR1I <br />I. BACKGROUND <br />1. . Name of Proponent � j�1lRn�orlSPn �orK�:ruC��on i�o <br />2. Address nnd Phona NumUer of Yroponent: <br />. ,�, _ __. _. � <br />�. �. �^,X 1i Lun,�u.�t�t,�i *�,fa �Re�b E� .�.\:.-,a <br />ZQ��� <br />3. Date Checklist Submitted Fc� h. R y l4'18 <br />