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9509 19TH AVE SE 2018-01-02 MF Import
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9509 19TH AVE SE 2018-01-02 MF Import
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Last modified
12/14/2021 10:00:49 AM
Creation date
4/2/2017 2:51:22 PM
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Address Document
Street Name
19TH AVE SE
Street Number
9509
Imported From Microfiche
Yes
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IS Ma be No <br />(e7 Storm water drainage? <br />(f) Solid waste and disposal? x <br />Explanation: On -site retension sustem is required <br />for storm water <br />(17) Human Health. Will the proposal <br />result in the creation of.any <br />health hazard or potential health <br />hazard (excluding mental health)? <br />Explanation: <br />(18) Aesthetics. Will the pronosal re- <br />sul— tt in the obstruction of any <br />scenic vista or view open to the <br />public, or will the proposal re- <br />sult in the creation of an aesthe- <br />tically offensive site open to <br />public view? x <br />Explanation: <br />(19) Recreation. Will the proposal re- <br />sult in an impact upon the quality' <br />or quantity of existing recrea- <br />tional opportunities? <br />Explanation: <br />u <br />(20) Archeological/Historical. Will the <br />.proposal result in an alteration of <br />a significant archeological or his- <br />torical site, structure, object of <br />building-) x <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 withdraw any declaration of non-s.i.gnficance <br />that it might issue in reliance upon this checklist should th <br />be any misrepresentation of lack of full disclosure on my par <br />Proponent: <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br />The above described project is a major action with <br />(significant,• insignificant) impact and (will, will not) require an <br />Environmental Impact Statement. <br />Responsible Official <br />WIL <br />
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