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<br /> Deambe air pollutants that may result frac the project(e.g,,construction related dust,vehicle tripe per day.fireplaces,incineratrrr,etc.):
<br /> I
<br /> None
<br /> iketribe any hazardous iu derialslwastm that will be present on-site:
<br /> None
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<br /> Describe any items of huzor ical or archaeological interest on'aite(e g.,oemmAmea or 8tr'twams):
<br /> f Describe any on-side or off-she scut op of noise or vibration(e.g.,fiveway noise,heavy equipamit,etc.):
<br /> None
<br /> • Describe any on-site or off-site sources of light or glare(e g.,parking lot lighting,or reflective materials used):
<br /> None
<br /> Describe soy on-eke or off-site source of odor(e.g,agricultural wastes):
<br /> None
<br /> Dwaibe my displacem"of people that will be caused by the project(e.g.,mrnbem of people,housing units}:
<br /> f
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<br /> SIGNATURE: I certify under penalty or perjury that I am(check one):
<br /> a Legal property owner(owner Includes partner,trustee,trustor,or corporate ot>scer)or the property(s)Involved
<br /> In this application,or
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