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xes Maybe No <br />(10 Recreation. Will the proposal result in an impact upon the quality <br />or quantity of existing recreational opportunities? <br />Explanation: <br />(20) Archeological/Historical. Will the proposal result in an alteration <br />of a significant archeological or historical site, structure, -object <br />or building? x <br />Explanation: <br />III SIGNATURE <br />I,. the undersigned, state that to the best of my knowledge the above information is <br />true and complete. It is understood that the lead agency may withdraw any declaration of non — <br />significance that it might issue in reliance upon this checklist should there be any misrepresen <br />tation or lack -of full.disclosure on my part. <br />1 <br />Proponent • �- tcf •� <br />IV. DECLARATION OF RESPONSIBLE OFFICIAL: <br />The above described project is a major action with (significant, insignificant) <br />impact and (will, will not).require an Environmental Impact Statement. <br />Responsible Official <br />