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5 . Will the project: <br /> a . generate objectional odors : No ~~ <br /> b. generate any discharge into surface waters : No <br /> C . generate or store hazardous materials: 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 : 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 /> LJOwner ' 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 /> r D-__4 �" �Z I iz <br /> (Signature ) (D t6 ) <br /> Use Permit Application - 10 - (6/86 ) <br />