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:.('y),. l.rcrr::tlon. WI11 t6c prn��w:n] rosulC In �n ir.:p:irC upnn [hn qurilily <br />or qu:m�ity o; rr.i::Cln��, rccrca�ional. u�,porcuniCi.c:;'. --- <br />l:::p7:inaCian: --- <br />(20) Archcnlo;ii�_:il/!li .torlcal. 11iJ.1 <br />of a .�il;riCi.canc archeolo�;icnl <br />or bui ]i in': % <br />):>:pl.ana� ion: <br />III. S1GNl+'1'I;t:l�: <br />Chc prnpo::n] rrr,u]C in an :iltcr;iCion <br />or hisLorical. sitc, cLi'ucCurc, nUjec[ <br />. Y <br />I, Chc undcrsis;ncd, staCe that to t:l�c UcsC of my l:nrnaltdf;e che aUovc infun:.ilion i.s <br />Lrue and camp]eCc,. Ic i.s undarslood Chae Che lead agency may �ai.thciraia any. decl�raCien uf non- <br />sit;nifir,�nce Chat i.0 mi8hc issue in relivice upon Chis cho.cl:list should t:here be :�ny misrepresen- <br />Calion or lack ot full disclosure on my patit. <br />P r op on e n C:--(�—� I�fE`l'(��.'� O� �,�2'%�,('c[�- <br />i - / <br />IV. DIiCLAR.I':IOIv' OP HtiSPU\SIllLIi OPl'1CIAL: <br />The �Uove described project is a major acfion t�iCh (significant„ insi.�;ni.fi.cnce) <br />impact a��d (�aiJ.l, t,�ill not) require an 1'r.virnnn�,ento] ImpaeC SLacer�enC. <br />]tesponsi.blc Offici.n <br />