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5 . Will the project: <br /> No , if operational controls are <br /> a . generate objectional odors : followed. Located near sewer plant . <br /> b. generate any discharge into surface waters : No <br /> c . generate or store hazardous materials : No <br /> d. expose people to any hazardous materials or situations: No <br /> e . displace people: No <br /> f . use significant amounts of energy or natural resources : o <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions : No <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 /> LAI, 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 /> rtc*�, ' C_ �• a ?� A P 2 (,L- FL? <br /> (Signatur O (Date ) <br /> Use Permit Application - 10 - (6/86 ) <br />