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5 • Will the project: <br /> a • generate objectional odors : <br /> b• generate an discharge no <br /> C. generate orstorehazardous materialssurface : <br /> no <br /> d• expose people to any hazardous materials or situations: no <br /> e• .displace people : no _ <br /> f• use significant amounts of energy or natural resources : <br /> g• cause congestion on roadways or at interchanges or intersec— <br /> tions: no <br /> O SIGNATURE <br /> I certify under penalty ofer <br /> p Jury that I am (check one ) ; <br /> Q Legal Property Owner (owner includes partner, <br /> corporate officer . ) trustee, truster, or <br /> the Owner 's legal agent (attach proof of the owner 's consent to file <br /> application) , <br /> and that the fore <br /> g i g is true and correct. <br /> (signature ) <br /> Use Permit Application <br /> - 10 - <br /> (6/86 ) <br />