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Wa.11 ..ne prcjPc: . <br /> a . generate cojectional odors : Nn <br /> b. generate any discharge into surface waters : NP <br /> C . generate or store hazardous materials : NQ <br /> d. expose people to any hazardous materials or situations : Nei <br /> e . displace people : NCl <br /> f . use significant amounts of energy or natural resources :�!r� <br /> g . cause congestion on roadways or at interchanges or inters <br /> �c- <br /> tions : N, <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 /> 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 /> (Signature ) (D to <br /> (Signature) ( ate <br /> Minor Subdivision - 10 - ( 6/86 ) <br />