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5 . Will the project: <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : No range <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 /> ❑ 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 /> ez_ / <br /> (Signature ) (Date ) <br /> RONALD FERRARO <br /> Y O DATE l 7 <br /> GEORGE <br /> GONSALVES DATE <br /> WGIE GONSALVES . DATE <br /> 91, ,W�aj _ / _ <br /> J DAT:x <br /> F. <br /> Minor Subdivision - 10 - ( 6/86 ) <br />