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IA � <br /> 5 . Will the project: <br /> a . generate objectional odors : z <br /> b. generate any discharge into surface waters : Yes <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 : Nn <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal PropertyOwner (owner includes artner trustee trustor , or <br /> � <br /> corporate officer . ) <br /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the foregoing is . true and correct . <br /> s <br /> (Signature ) (Date ) <br /> 1 <br /> i <br /> �II <br /> 4 <br /> Major Subdivision - to - (6/86 ) <br />