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5 . Will the project: <br /> a . generate objectional odors : .n <br /> b. generate any discharge into surface waters : Nn <br /> C . generate or store hazardous materials: Nn <br /> d. expose people to any hazardous materials or situations : Nc <br /> e . displace people : No <br /> f . use significant amounts of energy or natural resources : No <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : No <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 /> corporate officer . ) <br /> IV Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and,9h te foregoing is true and correct. <br /> t <br /> (Signature ) (Date ) <br /> Use Permit Application - 10 - (6/86 ) <br />