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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 : <br /> f . use significant amounts of energy or natural resources • Yes. <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: No. <br /> ❑ 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 /> uOwner ' 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 />