Laserfiche WebLink
5 . ' Will the project: <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : No <br /> c . generate or store hazardous materials : 1.0 <br /> d. expose people to any hazardous materials or situations:V p <br /> e . displace people:_No <br /> f . use significant amounts of energy or natural resources : <br /> g . cause co gestion on roadways or at interchanges or intersec- <br /> tions: p — Atcess (?y F)WDEGOSA _ ON [.3 <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 officez . ) <br /> �-J Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and hat the foregoing is true and correct . <br /> -aA,'L,� <br /> ( ignature ) (Date ) <br /> Use Permit Application - 10 - ( 6/86 ) <br />