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5 . Will' the project: <br /> a . generate objectional odors : Q0 J e <br /> b. generate any discharge into surface waters : <br /> c . generate or store hazardous materials : p o,j G <br /> d. expose people to any hazardous materials or situations:_ o <br /> e. displace people : ()o <br /> f . use significant amounts of energy or natural resources : p <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: <br /> Ii <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 /> LJ Owner ' 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 ) <br /> — (Date ) <br /> Use Permit Application - 10 - (6/86 ) <br />