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` ... . '�, � ,e' � . <br /> ��+? SiO1i? ':1J1'd:'1 Cl':i.'.:!i!� —_^ ' � <br /> •• <br /> . (i� :iUZ14 �:i.:�:i: F.::C'.. r:1!:j: : _al .� �_ '__– _ <br /> i:r.�l•':r�::t:o:�: .Jr�mts M��t EE,_�q&-�O�o,_2tL713�_��uJ (3�i��ts� <br /> . - � <br /> (17) ii�can I;caitn. t:.ill tl:e prol,osal • . ' <br /> �C&171 �� i n th� C'i:c �`.i��]1 nI cl^V <br /> iieal�ll S.E�2L'G Or i,G''-'it�:'_ci ..=31�1i <br /> _� ;_.:��, . , _ . � , <br /> .l�i Li . _ _....._..� . .�a._.�. "t �-.J.� 1 � __, —___ f— . <br /> � • <br /> i.?:LZ a r i..'C i✓': . ----- <br /> /t,G1 �e5{,]iCi:1C5. T.'l.111. Lll!_' 1�YO;�OSct.� re- � � ' <br /> • SUl.t 1R L71� ODSi.'l:llCLivil Of a!!f <br /> scenic vista or view open Lo the <br /> public, or will the prorosal re- <br /> ' sult in the creation of an aesthe- <br /> tically offensive site open to . <br /> public view? _ �.� , <br /> Explanation: <br /> � (19) P.ecreation. [�ill the. proposal re- <br /> sult in an impact upon the quality <br /> . • or quantity of e7:isting recYea- . <br /> - tional opporc.unities? _ �. <br /> Explanation: <br /> • �20) ArcheoZogical/Historical. �+7i11 the � � . <br /> proposal result in an alteration o� ' <br /> . a 'significant archeological or his- - <br /> torical site, structure, object or ' <br /> buildinq? ,_ ' � <br /> . Explanation: ' <br /> III. SIG\A`PUP.E , . . <br /> � T, the un_:ersic.^.=d, s��aie that te the D�st of my finoculedge <br /> the above inio�-r,�a'-.io� is true a�d co��lete. It is un6erstoo3 chat • <br /> th� lead agency nay �:icl�dr�.�a any declarat_on of non-signficance ' <br /> tha� it minht issue in relizncn upo, this ch�c]:list s?�ould there <br /> �ae any misrepres�nt�tior. oi- lack o� full Li.s,c• C��ur _ �y�art, <br /> Prop�nent: � d � , <br /> IVe DECLe'1F.�r,TI�� OF R�SPCi:SI:L.t'. OcI'ICIAL: �. <br /> The ibove described project is a najor act•ion with ' <br /> (significant, insignificant) iro;act a�d (�ui1l, ���ill not) require an <br /> k:n��ironmen�a.l Imp�cL• Statceicnk. • ' , . <br /> , Responsible Ofiicial • <br /> , � <br /> , . , . � . � I <br />