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5 , Will the project: <br /> a , generate objectional odors : No No <br /> b, generate any discharge into surface waters : <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 : <br /> g , cause congestion on roadways or at interchanges or intersec- <br /> tions: No <br /> D 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 /> t -J Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> a h the egoing is true and correct. <br /> (Signature ) (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br />