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5 . Will the project: <br /> a . generate objectional odors : p <br /> b. generate any discharge into surface waters : <br /> c. generate or store hazardous materials: <br /> d. expose people to any hazardous mat rials or situations : <br /> e. displace people: <br /> f . use significant amounts of energy or natural resources : ;05- <br /> 9. cause congestion on roadways or at interchanges or intersec- <br /> tions: Ala <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Q Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> UOwner '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 /> (Signre ) (Date ) <br /> I <br /> I <br /> i <br /> i <br /> i <br /> i <br />