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5 . Will the project : <br /> a . generate objectional odors : N O <br /> b . generate any discharge into surface waters : Lap <br /> C . generate or store hazardous materials : N o <br /> d . expose people to any hazardous materials or situations :-. �,jo <br /> e . displace people : N b <br /> f . use significant amounts of energy or natural resources :_ V,)h <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : <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 /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the appli.cation ) , <br /> and that the- oregoing is true and correct . <br /> ((( <br /> (.-Signature ) l ( f^ c <br /> (Date ) <br /> Use Permit Application - 10 - ( 6/86 ) <br />