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5 . Will the project: <br /> a . generate objectional odors : /UO <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials: <br /> d. expose people to any hazardous materials or situations: <br /> e . displace people : <br /> f . use significant amounts of energy or natural resources : ' <br /> g. cause congestion on roadways or at interchanges or intersex <br /> tions: �!/Q <br /> O SIGNATURE <br /> I certify under penalty of perjury that I am (check one) : <br /> �] Legal Property Owner (owner includes partner, trustee, trustor, or <br /> T� corporate officer . ) <br /> LJ 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 /> (Signature ) (Date ) <br /> Use Permit Application - 10 - -( 6/86 ) <br />