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5 . , Will the project : <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : No <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 significantamounts of energy or natural resources : NC <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 /> (Signature ) `; (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br />