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_.:.�__ r__y _•• AIR QVdLTT1 <br /> paQibe sir pollutants that may resin from the proiea(e.8..caatnnim related du.4 vehicle trips per day,f>Rplaom,inci"T°�or3 <br /> DeQ+be any t,.., gdeus mate:.lslwartea that will be prima on-sate: <br /> Desmbe any neon of himorial or mdhemlogial interest on-site(eg,cemeteries or snuwres): <br /> Daaibe my on-site or off-site soirees of raise or vibration(e.g,froeway wise heavy equip ) <br /> G <br /> Deseribe my oar w or off-site sources of light or glare(e.g,parking loc lighting or reflective materials used): <br /> Desmbe any on-cite or off-site source of odor(e-g.agrialnnal wastes): <br /> Desmbe my displacwa o,of people that will be caused by the project(erg,numbers of people housing units): <br /> AT.i'fff© ..... <br /> .. QFm STG` TATLfR1•� e ��' �' a. <br /> SIGNATURE: I certify under penalty of perjury that I Aro(sheds one): <br /> G I.e=al property owner(owner includes partner,trustee,tr ,utor,or corporate ollicer)of the property(s)Involved <br /> L.this appllation,or <br /> -2- <br />