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5 . Will the project: <br /> a . generate objectional odors : �4116 t <br /> b. generate any discharge into surface waters : �fj <br /> c . generate or store hazardous materials : ati <br /> d. expose people to any hazardous materials or situons : <br /> t� <br /> e . displace people:_ �v/,J <br /> f . use significant amounts of energy or natural resources : <br /> g. cause congestion on <br /> roadways or at interchanges or intersec- <br /> tions: <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> rUll <br /> Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> �--J Owner ' s legal agent (attach proof of 'the owner ' s consent to file <br /> the application ) , <br /> e,foi'lk-going is true and correct . <br /> ',_ (Signature ) G <br /> ( te ) <br /> Site Approval Application - g - <br /> ( 6/86 ) <br />