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,i <br /> I <br /> 2 . Equipment Used HOUSEHOLD FURNISHING AND TYPEWRITTER FOR REPORTS il <br /> (7) .(24) jl <br /> 3 . Hours and Days of Operation SEVEN DAYS PER WEEK TWENTY-FOUR HOURS PER DAY <br /> 4 . Employees : Total SIX (6) Per Shift TWELVE HOURS (12) l <br /> II <br /> 5 . Number of customers/day NO CUSTOMERS OCCASSIONAL PARENT(S) OR COUSELOR <br />' If <br /> 6 . Trucks/day: Incoming ONE PER WEEK (1) Outgoing NONE <br /> I� <br /> 7 . Electrical power and natural gas consumption: estimate amoul'It if <br /> substantial NORMAL CONSUMPTION <br /> I <br /> 8 . What, if any, off-site utility service, or road improvements;, <br /> will be required? NONE NEEDED I. <br /> II <br /> 9 . Specify any hazardous materials involved in the operation <br /> ( including toxic substances, flammables or explosives ) _ <br /> NONE NEEDED <br /> 10 . Describe any air pollutants or odors from the operation and Ilny� <br /> permits needed from the Air Pollution Control District. <br /> NONE NEEDED <br /> 11 . Describe source of any light or glar-e from the project: j! <br /> NONE <br /> ,i <br /> - II <br /> 12 . Amount of noise or vibration from the project: <br /> NONE I . <br /> I u <br /> El SIGNATURE <br /> �i <br /> I certify under penalty of perjury that I am (check one ) : Ij <br /> ❑ Legal Property Owner (owner includes partner, trustee, trustor , <br /> or ora( officer ) , <br /> or c p e � <br /> Owner ' s legal agent (attach proof of the owner ' s consent tollfile <br /> the application) , <br /> and that e for goi is true and correct. <br /> -31 <br /> (Signature ) -� (Date ) II <br /> it <br /> Use Permit Application - 6 - (6/86 ) <br />