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T.--1 the project : <br /> a . generate objectional odors : <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials : 1)0 <br /> d. expose people to any hazardous materials or situations : ' <br /> E . displace people : Io <br /> f . use significant amounts of energy or natural resources _ <br /> c . cause congestion on roadways or at interchanges or intersec- <br /> tions : /L 0 <br /> ❑ SIGNATURE <br /> c <br /> I certify under penalty of perjury that I am (check one ) : <br /> tQ 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 ile <br /> the application ) , <br /> and that the foregoing is true and correct. <br /> (Signatu ) (Date ) <br /> 1 <br /> Us= Pe=rmit Application - 10 - <br /> ( 86 ) <br /> #r r Imp <br />