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5 . Will the project: "-�` <br /> a . generate objectional odors : I 0 <br /> b. generate any discharge into surface waters : p <br /> c . generate or store hazardous materials : rJp <br /> d. expose people to any hazardous materials or situations: rl <br /> e . displace people:_L) p <br /> f . use significant amounts of energy or natural resources : h)� <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: A)Q <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 /> �-I Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and th thefo egoing is true and correct. <br /> 7 &// <br /> (Si ature ) ( at ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />