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,Wi11 the project: <br /> a . generate objectional odors : NO <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:_Y,-Existing residence will be removed and tenants will relocate.' <br /> f . use significant amounts of energy or natural resources : No <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: Not substantially <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 . ) j <br /> Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> I <br /> and that the foregoing is true and correct. <br /> (Signatur(e) (Date ) <br /> i <br /> i <br /> i <br /> t <br /> I <br /> e <br /> i <br /> f <br /> i <br /> 1 <br /> f <br /> Use Permit Application - 10 - (6/66 ) <br />