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3909 WETMORE AVE 2016-01-01 MF Import
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3909 WETMORE AVE 2016-01-01 MF Import
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Last modified
4/26/2017 3:27:39 PM
Creation date
3/9/2017 2:20:27 PM
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Address Document
Street Name
WETMORE AVE
Street Number
3909
Imported From Microfiche
Yes
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(19) Recreatfon. WS11 the propusal result in an impact upon thr_ quality <br />or quantity oF existing r�creational opportunities? <br />Explana[ion: <br />i20) ArcheoloRical/Histotical, Will the proposal result in an alteration <br />of a slgnificant archeological or historical si[e, structure, objec[ <br />or building? <br />Explanation: <br />III• SIGNATURE <br />Yca M� :7� <br />I, the undersigned, state that to the best of my knowledge the above infotmation is <br />true and complete. It is understood that the lead agency may vithdraw any declaration of non- <br />eiRnificance that it might issue in relisnce upon this checklist should there be any misrepresen- <br />tation or lack of full disclosure on my part. <br />Pz�ponenb�,,,,,R, <br />in• DECI,ARA:'ION OF RESPONSIBLE OFFICIAL: ��'� ���s.� <br />The above described project is a major action wtth � v „�` <br />impact and (aill, will not) require an Environmentai Zmpact Sta[ementcan[, insignificant) ' <br />Responsible Official <br />t-T <br />
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