Laserfiche WebLink
� <br />a <br />: <br />(e) Storm water drainage? • <br />(f) Solid waste and disposal? <br />Ye Ma�be No <br />� _ <br />�i_ _ <br />€.�planation: will inCracase u�iliiies u��z. <br />(17) Human Health. Will the proposal <br />•, result in the creation of.any <br />hea.ith hazard or potentia]. health <br />hazard (excluding mental health)? _ • ,�( <br />F�planation: <br />(28) Aesthetics. Will the pronosal re- <br />sult in the obstruction o� any <br />sc.enic vista or view open to the <br />public, or will the proposal re- <br />su].t in the creaCion of an aesthe- <br />ti.cally offensive site open to <br />public view? <br />�cplanation: <br />e <br />P <br />f7 <br />(19).Recreation. Will the proposal re� <br />' sult in an impact upon the quality <br />or quantity of exis�ing recrea- <br />tfonal upportunities? ,_ _� .� <br />Explanation: <br />. <br />4 <br />(20) Archeological/i3istorical. 'Will thP <br />,proposal.result in an alteration of <br />a significant archeological or his- <br />torical site, structure, object or <br />, building7 • _ <br />Explanation: <br />III. SIGNATURE <br />' � I, the undersigned, state that to �the best of my knowledge <br />�� the above information is true and complete. It is understood that <br />the lead agency may withdsaw any declaration of non-signficance <br />that it might issue in reliance upon this checklist should there <br />be any misrepresentation of lack of full disclosure on my part. <br />Proponent :'-..�_--. _ �c,�-� <br />IV. DECLARATION OF RES20NSIBLE 4FFICIALa `\`�'�"'' �1""�`� <br />The above described project is a t�ajo action with � <br />(aignificant,•insignificant) impact and (wi31,. will not) require an <br />Envirottmental Impact Sta;ement. ' <br />� '• • Responsible Official . <br />