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S . Will the project: <br /> a . generate objectional odors : �-�o <br /> b. generate any discharge into surface waters : Np <br /> c . generate or store hazardous materials : N o <br /> d. . expose people to any hazardous materials or situations: J1 o _ <br /> e . displace people: J-lp <br /> f . use significant amounts of energy or natural resources :K_ <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: t10 <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> .=[S -ty—owner—(owner—inc2 odes=partner f--t u�t��_t t s off,-or <br /> corporate officer . ) <br /> LI owner ' s legal agent (attach proof_ of -the owner 's_ consentto file <br /> the application ) ,, <br /> ----- - and, that the- foregoing is true and correct.- - <br /> �Q�t. <br /> (Signature ) Mate ) <br /> Mobilehome/Recreational <br /> Vehicle Park Permit - 14 - (9/86 ) <br />