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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 materials or situations : <br /> e . displace people: _. AJO <br /> f . use significant amounts of energy or natural resources :_ <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: ND <br /> ❑ SIGNATURE <br /> I certify .under penalty of perjury that I am (check one ) : <br /> L" Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate .off icer . ) . <br /> LJ Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that theoregoing is true and correct. <br /> (Signature ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />