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S .. Will the project : <br /> a . generate objectional odors : <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 : no <br /> e . displace people: no <br /> f . use significant amounts of energy or natural resources :. nn <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 /> LaOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the foregoin is `rue and correct. <br /> __MRV 15, 1989 <br /> ( igna.tur (Date ) <br /> Private Rights-of-Way -10- ( 8/86 ) <br />