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e <br /> 5 . - will the project: <br /> a . generate objectional odors : �\10 <br /> b. generate any discharge into surface waters : <br /> c . generate or store hazardous materials:_ aA-2E�mn, tits ta►� +z G�� <br /> d. expose people to any hazardous materials or situations: tjc � <br /> e . displace people: ASn <br /> f . use significant amounts of energy or natural resources : JSb <br /> g. cause congestion on roadways or at interchanges 'or intersec- <br /> tions: <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> �--! Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application) , <br /> and that the foregoing is true and correct. <br /> -- - Z- Is"- 8] <br /> (Signature ) (Date ) <br /> f <br /> k <br /> 3 <br /> {f <br /> I <br /> F <br /> Use Permit Application - 10 - (6/86 ) <br />