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17.
18.
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Human Health. Will the proposal
result in the creation of any
health hazard or potential health
hazard (excluding mental health)? X
Explanation:
Aesthetics. .Will the proposal
result in the obstruction of any
scenic vista or view open to the
Human Health. Will the proposal
result in the creation of any
health hazard or potential health
hazard (excluding mental health)? X
Explanation:
Aesthetics. .Will the proposal
result in the obstruction of any
scenic vista or view open to the
public, or will the proposal re-,''
sult in the creation of an
aesthetically offensive site open
to public view?
X`;
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.
t
Explanation:
19. Recreation. Will the proposal
r�x:
result in an impact upon the
quality of quantity of existing
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recreational opportunities?
X
s ,
Explanation:
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20. Archeological/Historical. Will the
1
proposal result in an alteration ofr
k
a significant archeological or his-
torical site, structure, object or
X'
building?
Explanation:
SIGNATURE
I, the undersigned, state that to the best of
my knowledge
the above information is true and complete. It,is
understood
that the lead: agency may withdraw any declaration
of non-signi-
,
ficance that it might issue in reliance upon this
checklist
should there be any willful misrepresentation or willful
lack of
full disclosure onmy part.
Proponent:
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