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5 . Will the project : <br /> a . generate objectional odors : no <br /> b. generate any discharge into surface waters : nr)_ _ <br /> C . generate or store hazardous materials : no <br /> d. expose people to any hazardous materials or situations : no <br /> e . displace people : nn <br /> f . use significant amounts of energy or natural resources : no <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 /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the applic tion ) , <br /> and foregoing is true and correct . <br /> aF- xZ <br /> ( ig ature ) (Date ) <br /> Use Permit Application - 10 - ( 6/86 ) <br />