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,,5 , .Will the project: <br /> a . generate objectional odors : <br /> b. generate any discharge into surface waters : rTc� <br /> c . generate or store hazardous materials: <br /> d. expose people to any hazardous materials or situations : NO <br /> e . displace people : No <br /> f . use significant amounts of energy or natural resources • No <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: <br /> 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 /> � Y� i <br /> l-=a Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that ..h fo going is trug7and correct. <br /> MAY 17, !0189 <br /> (S gnat`:re ) (Date ) <br /> i <br /> i <br /> I <br /> I <br /> Minor Subdivision - 10 - ( 6/86 ) <br />