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5 . Will the project : <br /> a . generate objectional odors : 1-4c> <br /> b. generate any discharge into surface waters : O <br /> C . generate or store hazardous materials : t,�c) <br /> d. expose people to any hazardous materials or situations : <br /> e . displace people : tAu <br /> f . use significant amounts of energy or natural resources : ►. <br /> g . cause congestion on r adways or at interchanges or intersec- <br /> tions : L� <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 /> LI Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> theJjal' <br /> cation ) , <br /> anforegoing is true and correct . <br /> (Signat e ) (Date ) <br /> Use Permit Application - 10 - ( 6/86 ) <br />