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5 . • Will the project: <br /> a . generate objectional odors : no <br /> b. generate any discharge into surface waters : n0 <br /> c . generate or store hazardous materials : no <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: no <br /> Q 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 coasent to file <br /> the application ) , <br /> an that the foregoing is true and correct . <br /> r-17,17/f(57,f - X <br /> ignature ) (Dat ) <br /> Minor Subdivision - 10 - (6/86 ) <br />