Hazardous Substances Reporting Form - Attica Township, Lapeer County, Michigan
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8.7 Hazardous Substances Review
HAZARDOUS SUBSTANCES REPORTING FORM FOR SITE PLAN REVIEW
Attica Township, Lapeer County, Michigan
Note: This form must be completed and submitted as part of the application for site plan
review.
Name of business:_____________________________________________________________
Name of business owner(s): _____________________________________________________
Street and mailing address: _____________________________________________________
_____________________________________________________________________________
Telephone: ______________________________
FAX: ____________________________________
I affirm that the information submitted is accurate.
Owner(s) signature and date: ____________________________________________________
____________________________________________________
Information compiled by:
____________________________________________________
____________________________________________________
1.
Y N
Will the proposed facility store, use or generate hazardous substances or
polluting materials (including petroleum-based products) now or in the
future? If yes, please complete this form and submit your site plan.
2.
Y N
Will the hazardous substances or polluting materials be reused or recycled
on-site?
i
Attica Township Development Approval Manual
8-24
clearzoning
®
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