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<br />~'A <br /> <br />Environmental Checklist <br />For CEQA Compliance <br /> <br />Project Sponsor's Name and Address: <br /> <br />General Plan Designation: <br /> <br />Description of Project: <br /> <br />Surrounding land Uses and Setting: <br /> <br />Zoning: <br /> <br />Environmental Factors Potentially Affected: <br /> <br />The environmental factors checked below would be potentially affected by that project, involving at least one <br />impact that is a "Potentially Significant Impact" as indicated by the checklist on the following pages. <br /> <br />0 Aesthetics 0 Historic Demolition <br />0 Agricultural Resources 0 Historic Project Review <br />0 Air Quality 0 Noise <br />0 Biological Resources 0 Population / Housing <br />0 Cultural Resources 0 Public Services <br />0 Geology / Soils 0 Recreation <br />0 Hazards and Hazardous Materials 0 Transportation / Traffic <br />0 Hydrology I Water Quality 0 Utilities I Service Systems <br />0 Mineral Resources 0 Mandatory Findings of Significance <br />0 General Plan Amendment <br /> <br />dblEnv Form CEOA Chklst <br /> <br />Page 1 of 1 <br /> <br />3'fjt~~ENT A <br /> <br />31 of 48 <br />