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1 <br /> 5 . Will the project: <br /> a . generate objectional :ors : NO .. <br /> b. generate any dischaii-a into surface waters : NO <br /> c . generate or store hazardous rttaterials: NO <br /> d. expose people to any hazardous r„aterials or situations : NO <br /> e . displace people VO <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 th:.:.r I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor , or <br /> corporate officer . ) <br /> {--t Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the for oing is true and correct . <br /> ZZ, <br /> (Signature C Mate ) <br /> DENNIS ALEGRE <br /> Minor Subdivision - 10 - ( 6/06 ) <br />