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5 . Will the project: <br /> a . generate objectional odors : A/O <br /> b. -generate any discharge into surface waters : X00 <br /> C . generate or store hazardous materials : &/0 <br /> d. expose people to any hazardous materials or situations : i(/O <br /> e . displace people: A/O <br /> f . use significant amounts of energy or natural resources :_ <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 that the foregoing is true and correct . <br /> (Signatur (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />