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5 . Will the project : <br /> a . generate objectional odors : <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials : IQC <br /> d. expose people to any hazardous materials or situations : <br /> e . displace people : KO <br /> f . use significant amounts of energy or natural resources : <br /> g . cause con stion :ten roadways or at interchanges or intersec- <br /> tions: <br /> ntersec- <br /> tions: WLICANT w1 u-EJ PAQ r i C I PATEF_ I N A-,RF_A. <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 /> the application ) , <br /> and ttat the fo o ' g is true and correct . <br /> /(S-'ignd-t 6Xe ) (Date ) <br /> Zone Reclassification - 10 - ( 6/86 ) <br />