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xce•. Maybc,�� No _ <br /> �1g� , Re�T_ ���, pi� he propoenl result in an impac ��pon thc quality — � � " <br /> or quantity of existing recrcaCional oppor[unl[Ses? <br /> X— <br /> ' ' 'Explanation: . <br /> (2p) Archeologieal/ftistorical. Will the proposal resu;t in an alteza�ect. <br /> of a significant archeological or historical site structure, obS — X <br /> or building? - <br /> p�cplanation: <br /> III. • SIGNATURE <br /> I. the undersigned, state that to the best of my knoWithdraahanybdeclarat ontofnnon– <br /> true and complete. It is understood that [he lead agency may <br /> eiqnificance that it m76ht isaue in reliaBiC upon this checklist ahould there be any misreprese <br /> tatton or lack of full disclosure on my p <br /> proponent:_ <br /> IV. DECI.ARATION OF RESPONSIBLE OFFICIAL: <br /> The abwe deecribed project ia a major action vith (significant, inaignificant) <br /> lmpaci and (will, vill not) require an Environmental Impact Statement. <br /> Responsible Official ' <br /> . . <br /> . � <br /> 1 � <br />