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5. will the project: <br /> a . generate objectional odors : X10 <br /> b. generate any discharge into surface waters : /Vo <br /> C . Qenerate or store hazardous materials : N0 <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 :fic <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions : Mo <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 /> Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> U <br /> the application ) , <br /> and that the foregoing is true and correct. <br /> (Signature (Date ) <br /> Minor Subdivision - 10 - (6/86 ) <br />