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<br /> Describe air pollutants that may result from the projccx(C_&,oot�ruaion
<br /> related dust,veluole trips per day.f mlatt4 i atof°+eic):
<br /> fJ le
<br />. Dcaaabe any hazardous naalaiaWwastes that will be prmma on-site:
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<br /> .:.:...}.,:r•;: :.,�..,..,,.:'t ,r.- br -I 7s'o" ---%'%q?fw:ji.•''�.-. -',R-WfCi
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<br /> Nr:f�'.< �e?� -
<br /> Deaa*w any fume ofhidarical or archaoologecal ffieacrrg on-site(e g,cemcta m ar ):
<br /> IUO f f�'rtl�D r
<br /> Describe airy m4 to or off-aft sou�rrora of mise or vibration(e,g,&Ocway mise,besvy dr-)'
<br /> Desatbe say on-site or off'-site sources of light o�rr glue(e.g.,parking lot fighting,or reflective mstmials uSed):
<br /> Describe any on-site or off-sm ser=of odor(e.g.,agricultural wash):
<br /> AJ
<br /> AJ Z fry{
<br /> Dcombe any displaces of people that will be caused by the project(e,g.,tmmbers ofpeople,housing rmits}
<br /> v, }+.•-,..Air-'ryA' xi, --rc.»u. -iv.�vr..uu-:-.
<br /> SIGNATURE: I certify ander penalty of perjury that I am(chap one).
<br /> O beta property owner(owner includes parhrcr,trustee,trmtor,or corporate officer)of the property(s)Involved
<br /> In this application,or
<br /> -2-
<br />
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