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2118 38TH ST 2016-01-01 MF Import
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2118 38TH ST 2016-01-01 MF Import
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Last modified
3/31/2017 10:22:26 AM
Creation date
3/31/2017 10:21:33 AM
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Template:
Address Document
Street Name
38TH ST
Street Number
2118
Imported From Microfiche
Yes
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�..�.�,r - .�� <br /> tl <br /> _ � , <br /> _ . . • . : <br /> ' • Ycs H_ nybc No <br /> � (7_9) Recreat7on. Will the proposul r.esult in an impact upon [he qua).ity <br /> or quantity� of existin� recreati��nal opportunities't � �/ <br /> :xplanatiorr. • . • . . '� <br /> . <br /> (2J) ArcheoloRical/flistorical. Will the proposal result in an alteration <br /> . of a significant archeological or histurical site, structure, obJect <br /> or building? <br /> � . Explana[ion: • • • .. � <br /> � . • <br /> III. SIGNATURE ' • <br /> I, the underaigned, state that to the best of my knowledge the above infoimation is <br /> tive and complete. It is understood that the lead agency may withdraw any de�claration of non— <br /> siqnif£cance that it might issue in reliance upon this checklist should there be any,misreprer: <br /> tation or lack of full disclosure on my p�rt. <br /> • . . • ' Proponent�l . / , ����e;�«^� <br /> IV. DECLARATION OF RESPO�SIBLE OFFICIAL: �f'"'r����� � '•J� <br /> The abwe described project is a major action with (significant, insignificant) • <br /> : impact and �will, will not) require an Environmental Impact Statement. _ <br /> Responsible Utficial <br /> • . . , <br /> • , . <br />� <br />
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