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Yes t<ayh. _!n <br />(19) Recreation. Will the proposal result in an im-act.upon the quality <br />or quantity of existing recreationai opportunities? X <br />Explanation: <br />(20) Archeological/listorical. Will the proposal result in an alteration <br />of a significant archeological or historical site, structure, object <br />or building' ` <br />Explanation: <br />IIF. SIGNATURE <br />I, the undersigned, state that to the best of my knowledge the above information is <br />true and complete. It is understood that the lead agency may withdraw any declaraticn of =on - <br />significance that it might issue in reliance upon this checklist should there be any ..isre:resen- <br />tption or lack of full disclosure on my part. <br />Proponent:_ii�_ <br />Lance Jonsson <br />In. DECLARATION OF RESPONSIBLE OFFICIAL: Whiteley, Jacobsen & Assoc. <br />The above described project is a major action with (significant, insignificant) <br />Impact and (will, will not) require an Environmental Impact Statement. <br />1 <br />u <br />Responsible Official <br />A <br />N <br />