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r <br /> (19) Recreation. Will the proposal result in an Impact upon the quality ! <br /> or quantity of existing recreational opportunities? <br /> Explanation: I <br /> t <br /> (20) Archeological/ilistorical. Will the proposal result in an alteration <br /> of a significant archeological or historical site, structure, object <br /> or building? '— <br /> Explanation:— <br /> 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 /> - <br /> signtficance that it might issue in reliance upon this checklist should there be anv misrepresen- <br /> tation or lack of full disclosure on my part. 1 /� <br /> Proponent: <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 /> I <br />