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5 , Will the project : <br /> a . generate objectional odors : No <br /> b, generate any discharge into surface waters : <br /> NO <br /> C . generate or store hazardous materials: <br /> d, expose people to any hazardous materials or situations : <br /> e . displace people: <br /> f , use significant amounts of energy or natural resources : No <br /> g , cause congestion on roadways or at interchanges or intersec- <br /> tions : <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 /> �--1 Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application) , <br /> and that fo a oing is true and correct . <br /> ( 9 ) (Date ) <br /> AS INDIVIDUAL AND PRESIDENT OF CORPORATION <br /> - .;.wry'-.-- - Y• •L -. . <br /> ' Ma5or Subdivision - 3Q - (6/86 ) <br />