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5 . Will the project: <br /> a . generate objectional odors : <br /> b. g4n'e*e fie'ady discharge into surface wate s : o <br /> c . generate or store hazardous materials: a <br /> d. expose people to ay hazardous materials or situations: e <br /> e . displace people: <br /> f . use significant amounts of energy or natural resources : <br /> g . cause con�i,,s .any o �Xoadways or at interchanges or intersec- <br /> tions: , .f . ! ► .l. 1rr' <br /> ❑ SIGNATURE <br /> I' cerfifvuA$ r''pehaltpof perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> tra.�'li�s�.. �?,, _:: r:1r i ,,L►� .c :�r �c:�ry:,1l�r,.c:c �•..Ys �_•�It�. <br /> and that the foregoing is true and correct. <br /> (Signature ) (Date ) <br /> - F •i . <br /> Minor Subdivision - 10 - ( 6/86 ) <br />