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<br />(NOTE: <br /> <br />ENVIRONMENTAL CHECKLIST <br /> <br />Multiple site projects require separate checklists.) <br /> <br />Q. ny OF SA rJ <br /> <br />H.4R..CO":::> <br /> <br />PROJECT SPONSOR: <br /> <br />PROJECT NAME: <br /> <br />PREPARED BY: <br /> <br />BLA~eo ~~ PAf2.té:. f~g ~ f .. Å~ \ <br />~ M.. ~Il. \ r.E. <br /> <br />I. <br /> <br />GENERAL INFORMATION <br /> <br />Please circle the appropriate answer. <br /> <br />NO ~~Ð <br />@> YES <br />NO @ <br /> <br />Are there existing overhead utilities or easements <br />within the project area? (If "yes", locate and label <br />them on the site plan and boundary map.) <br /> <br />Are there any known threatened or endangered species of <br />flora or fauna located within the project area(s)? If <br />"yes" provide details. <br /> <br />Do you have a jurisdiction-wide parks, recreation and <br />open space master plan? If you do, and it is not on <br />file in the Grants-In-Aid Program office,submit one <br />copy with your application. <br /> <br />II. <br /> <br />SURROUNDING LAND USES <br /> <br />Please fill in the appropriate answer. Examples include single- <br />family residential, multi-family residential, ranch, agricultural, <br />industrial, commercial, retail, school, park, etc.) <br /> <br />North: BLA.tJCD (2..\\I'tre.. (t-\l'l'l2D ~\Deur£Al. (!.l;i"'p.1.~'AL ') <br />South: ~lDaJTLA\.- <br />East: f.A.\'){.EÐ ~\D~tA'-- e.c:HM8'Q..C!.LAL <br />We s t. : CD a.t ~ ~M.... (. U.¿ '30":1 CDee..U::() e.) <br /> <br />SOCIO-ECONOMIC CHARACTERISTICS OF THE PROJECT SERVICE AREA <br />(Include a map identifying the project service area, low <br />income residential areas, and areas with significant <br />concentrations of ethnic populations identified in IIIB.) <br /> <br />A. Population <br /> <br />III. <br /> <br />* <br />* <br /> <br />Population to be served by the project: <br />Total sponsor population: <br /> <br />q l \ ß8ï WA'í~ ~~ <br />4°14 ~ l <br /> <br />31 <br />