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5 . Will the project: <br /> a . generate objectional odors : NO <br /> b. generate any discharge into surface waters :_ Nn <br /> C . generate or store hazardous materials: NO <br /> d. expose people to any hazardous materials or situations :_ <br /> e . displace people : NO <br /> f . use significant amounts of energy or natural resources :�J (� <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : N <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes <br /> g A Y partner, trustee, trustor , or <br /> corporate officer . ) <br /> ❑ 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 /> 5- (3ff <br /> ig to ) (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br />