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5 . Will the project: (Minor Subdivision) <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : ,To <br /> C . generate or store hazardous materials : No <br /> d . expose people to any hazardous materials or situations : No <br /> e . displace people : No <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 /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and tnat the foregoing is true and correct . <br /> VIcCPAi Da e ) <br /> Mi.. :r Subdivision - 10 - ( 6/86 ) <br />